Kentucky
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

October 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program

October 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Oct 1, 2019

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

October 2019 Anthem Provider News - Kentucky Medicaid Oct 1, 2019

Medicaid News -- October 2019

October 2019 Anthem Provider News - Kentucky Medicaid Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Oct 1, 2019

Medicare News -- October 2019

October 2019 Anthem Provider News - Kentucky Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Anthem Provider News - Kentucky Medicare Oct 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Kentucky Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Kentucky Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News - Kentucky Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News - Kentucky Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Kentucky Medicare Oct 1, 2019

Unspecified diagnosis code update

September 2019 Anthem Provider News - Kentucky Medicaid Sep 1, 2019

Provider payment schedule updates

September 2019 Anthem Provider News - Kentucky Medicaid Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Kentucky Medicaid Sep 1, 2019

2019 Provider Satisfaction Survey: We need your help!

September 2019 Anthem Provider News - Kentucky Medicaid Sep 1, 2019

Medicare News -- September 2019

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Medicare News -- August 2019

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

Special needs plans - provider training required

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

Medicaid News -- August 2019

August 2019 Anthem Provider News - Kentucky Medicaid Aug 1, 2019

Coming soon: electronic attachments

August 2019 Anthem Provider News - Kentucky Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Anthem Provider News - Kentucky Medicaid Aug 1, 2019

Use the Provider Maintenance Form for professional providers to update your information

August 2019 Anthem Provider News - Kentucky Medicaid Aug 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News - Kentucky Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News - Kentucky Medicare Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Kentucky Medicare Jul 1, 2019

Keep up with Medicare News -- July 2019

July 2019 Anthem Provider News - Kentucky Medicare Jul 1, 2019

Review of professional claims with emergency department level 5 E&M codes

July 2019 Anthem Provider News - Kentucky Medicaid Jul 1, 2019

New service types added to Availity

July 2019 Anthem Provider News - Kentucky Medicaid Jul 1, 2019

Latest updates to Electronic Data Interchange Gateway migration

July 2019 Anthem Provider News - Kentucky Medicaid Jul 1, 2019

Coding Spotlight: Hypertension

July 2019 Anthem Provider News - Kentucky Medicaid Jul 1, 2019

Keep up with Medicare News -- June 2019

June 2019 Anthem Provider Newsletter - Kentucky Medicare Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Kentucky Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Kentucky Medicare Jun 1, 2019

Medicaid News -- June 2019

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Members’ Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Medical Policies and Clinical Utilization Management Guidelines Update -- June 2019

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Medicaid News - May 2019

May 2019 Anthem Provider Newsletter - Kentucky Medicaid May 1, 2019

Clinical Criteria updates - May 2019

May 2019 Anthem Provider Newsletter - Kentucky Medicaid May 1, 2019

Keep up with Medicare news - May 2019

May 2019 Anthem Provider Newsletter - Kentucky Medicare May 1, 2019

Update regarding evaluation and management with modifier 25

April 2019 Anthem Provider Newsletter - Kentucky Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Kentucky Medicare Apr 1, 2019

Keep up with Medicare news - April 2019

April 2019 Anthem Provider Newsletter - Kentucky Medicare Apr 1, 2019

Provider surveys

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

New specialty pharmacy medical step therapy requirements

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

Neonatal intensive care unit post-traumatic stress disorder program

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

Update: Evaluation and Management with Modifier 25

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

Reimbursement Policy Update: Modifier 25

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

Dual Eligible Special Needs (D-SNP) Plans - provider training required

March 2019 Anthem Provider Newsletter - Kentucky Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - Kentucky Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Kentucky Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Kentucky Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - Kentucky Medicare Mar 1, 2019

Electronic data interchange gateway update

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

July 2018 Medical Policies and Clinical Utilization Management Guidelines update

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

Aspire Health now provides palliative care for Medicaid members

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

Coding spotlight: diabetes - provider guide to coding the diagnosis and treatment of diabetes

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

Reminder: Appointment availability and after-hours access requirements

February 2019 Anthem Kentucky Provider Newsletter Medicaid Feb 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Kentucky Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Kentucky Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Kentucky Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Kentucky Provider Newsletter Medicare Jan 1, 2019

Copay update

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

Services requiring prior authorization

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

Prior authorization requirements for Emicizumab-kxwh injection

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

Prior authorization requirements for Interferon beta-1a

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

EDI Gateway migration

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

NCQA: Pharmacy Management Information

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

NCQA: Practitioners’ Rights during Credentialing Process

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Update: Drug Screen

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

What Matters Most: Improving the Patient Experience CME

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Quarterly Pharmacy Formulary Change Notice

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Prior Authorization Requirements for Somatrem

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Prior Authorization Requirements for Sublocade

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Reimbursement Policy Update: Claims Requiring Additional Documentation

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

2019 FEP Benefit information available online

December 2018 Anthem Kentucky Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Kentucky Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Kentucky Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018
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