Kentucky
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Kentucky Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Kentucky Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Kentucky Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Kentucky Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Kentucky Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Kentucky Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Kentucky Provider Newsletter Medicare Dec 1, 2018

Streamline workflow with solicited medical attachments

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Coding Spotlight - Obesity

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for Darzalex (daratumumab) drug

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for Cabazitaxel (Jevtana)

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Miscellaneous durable medical equipment (DME) billing guidelines

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - May 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - January 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Clinical Utilization Management Guidelines update - March 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Vaginal birth after cesarean (VBAC) shared decision-making aid available

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Keep up with Medicare news

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Anthem fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018
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