CommercialMarch 1, 2023

March 2023 Anthem Provider News - Kentucky

Administrative

AdministrativeCommercialMedicare AdvantageMedicaidMarch 1, 2023

Advancing Mental Health Equity for Youth & Young Adults

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

AdministrativeCommercialMarch 1, 2023

New policy for EMR clinical data sharing and ADT notifications

AdministrativeCommercialMarch 1, 2023

March is National Colorectal Cancer Awareness Month

AdministrativeCommercialMedicare AdvantageMedicaidMarch 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

AdministrativeCommercialMedicare AdvantageMedicaidMarch 1, 2023

Engagement with your patient counts

Policy Updates

Reimbursement PoliciesCommercialMarch 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

Products & Programs

Products & ProgramsCommercialMedicare AdvantageMarch 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

PharmacyCommercialMarch 1, 2023

Pharmacy information available on our provider website

PharmacyCommercialMarch 1, 2023

Specialty pharmacy updates for March 2023

State & Federal

State & FederalMedicaidMarch 1, 2023

Keep up with Medicaid News - March 2023
- Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List update
Medical Policies and Clinical Utilization Management Guidelines update
Clinical Criteria updates
- Prior authorization updates for medications billed under the medical benefit (Carvykti)
- Prior authorization updates for medications billed under the medical benefit (Aduhelm)

State & FederalMedicare AdvantageMarch 1, 2023

Annual planned visits

State & FederalMedicare AdvantageMarch 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

State & FederalMedicare AdvantageMarch 1, 2023

Informational Update Modifier Usage

State & FederalMedicare AdvantageMarch 1, 2023

Shared savings and transition care management after inpatient discharges

State & FederalMedicare AdvantageMarch 1, 2023

Keep up with Medicare News - March 2023
- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List in Kentucky
- Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Neulasta, Neulasta OnPro, Udenyca)
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines