October 1, 2020
October 2020 Anthem Provider News - Kentucky
Filter By: AllCommercial
Administrative
CommercialOctober 1, 2020
Updated Provider Manual now availableCommercialOctober 1, 2020
National Accounts 2021 Pre-certification listCommercialOctober 1, 2020
Anthem Chat: A fast, easy way to have your questions answeredCommercialOctober 1, 2020
New medical claim attachment webinars: Register todayCommercialOctober 1, 2020
Electronic member ID cards available on the Availity portalCommercialOctober 1, 2020
What Matters Most: Improving the patient experiencePolicy Updates
CommercialOctober 1, 2020
Medical policy and clinical guideline updates - October 2020CommercialOctober 1, 2020
Prior authorization update for Commercial Individual BusinessCommercialOctober 1, 2020
Transition to AIM rehabilitative service clinical appropriateness guidelinesCommercialOctober 1, 2020
Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020CommercialOctober 1, 2020
Reimbursement policy update: Emergency department - leveling of Evaluation and Management services (Facility)CommercialOctober 1, 2020
Reimbursement policy update: Claims requiring additional documentation policy (Facility)CommercialOctober 1, 2020
Reimbursement policy update: Laboratory and venipuncture (Professional)Products & Programs
CommercialOctober 1, 2020
Federal Employee Program® expands specialty pharmacy prior authorization listCommercialOctober 1, 2020
Anthem updates formulary lists for commercial health plan pharmacy benefitCommercialOctober 1, 2020
Prior authorization updates for specialty pharmacy are available - October 2020CommercialOctober 1, 2020
Updated coverage for breast cancer prevention medicationsCommercialOctober 1, 2020
FDA approvals and expedited pathways used - New Molecular Entities (NMEs)CommercialOctober 1, 2020
Pharmacy information available at anthem.comState & Federal
MedicaidOctober 1, 2020
New behavioral health discharge call-in lineMedicaidOctober 1, 2020
Patient360 enhancement for medical providersMedicare AdvantageOctober 1, 2020
Medicare News - October 2020- Evaluation and management services correct coding
- Medical policies and clinical utilization management guidelines update
- Prior authorization requirements for the below codes effective January 2021
Medicare AdvantageOctober 1, 2020
Medical drug benefit clinical criteria updatesMedicare AdvantageOctober 1, 2020
Prior authorization requirements for the below codes effective January 1, 2021Medicare AdvantageOctober 1, 2020
Social determinants of health support expanding with GroundGame HealthMedicare AdvantageOctober 1, 2020
Provider transparency updateTo view this publication online:
Visit https://providernews.anthem.com/kentucky/publications/october-2020-anthem-provider-news-kentucky-730
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