Kentucky
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Jul 1, 2020

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

July 2020 Anthem Provider News - Kentucky Medicaid Jul 1, 2020

Coding spotlight: Provider’s guide to code social determinants of health

July 2020 Anthem Provider News - Kentucky Medicaid Jul 1, 2020

Coding spotlight: Provider’s guide to coding for cardiovascular conditions

July 2020 Anthem Provider News - Kentucky Medicaid Jul 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

July 2020 Anthem Provider News - Kentucky Medicaid Jul 1, 2020

Modifier use reminders

July 2020 Anthem Provider News - Kentucky Medicaid Jul 1, 2020

Medicare News - July 2020

View these Medicare articles:
- New behavioral health discharge call-in line
- Medical policies and clinical utilization management guidelines update
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Transition to AIM rehabilitative services clinical appropriateness guidelines
- Modifier use reminders
July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

Medical drug benefit clinical criteria updates

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

In-Office Assessment Program

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

2020 affirmative statement concerning utilization management decisions

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Follow-Up After Hospitalization for Mental Illness

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Complex Case Management program

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Important information about utilization management

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Member Rights’ and Responsibilities Statement

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Medicare News - June 2020

View these Medicare articles:
- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition
June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Acquisition of Beacon Health Options

May 2020 Anthem Provider News - Kentucky Medicaid May 1, 2020

Prior authorization requirements: New 2020 codes for coverage and precertification

May 2020 Anthem Provider News - Kentucky Medicaid May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News - Kentucky Medicaid May 1, 2020

Medical drug benefit Clinical Criteria updates

May 2020 Anthem Provider News - Kentucky Medicaid May 1, 2020

Medicare News - May 2020

View these Medicare articles:
- Prior Authorization requirements
- New behavioral health Medicare Advantage individual and Group Retiree Solutions provider fax
May 2020 Anthem Provider News - Kentucky Medicare May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News - Kentucky Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Kentucky Medicare May 1, 2020

Medicaid News - April 2020

View this Medicaid notice:
- New specialty pharmacy medical step therapy requirements
April 2020 Anthem Provider News - Kentucky Medicaid Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Anthem Provider News - Kentucky Medicaid Apr 1, 2020

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Anthem Provider News - Kentucky Medicaid Apr 1, 2020

Kentucky Health Information Exchange grant opportunity

April 2020 Anthem Provider News - Kentucky Medicaid Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Apr 1, 2020

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Kentucky Medicare Apr 1, 2020

Medicare News - April 2020

View these Medicare notices:
- Coding tip for psychological and neuropsychological testing
- Medical Policies and Clinical Utilization Management Guidelines update
- New Medicare Advantage opioid treatment Program benefit
- Prior authorization requirements: new 2020 codes for coverage and precertification
April 2020 Anthem Provider News - Kentucky Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

April 2020 Anthem Provider News - Kentucky Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - December 2019

April 2020 Anthem Provider News - Kentucky Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News - Kentucky Medicare Apr 1, 2020

Updated COVID-19 and Telehealth trainings for Medicaid and Medicare Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicare Advantage Provider News Archives and Medicaid Provider News - COVID-19.
COVID-19 Information - Kentucky State & Federal Mar 25, 2020

Medicaid News - March 2020

March 2020 Anthem Provider News - Kentucky Medicaid Mar 1, 2020

Coding tip for psychological and neuropsychological testing

March 2020 Anthem Provider News - Kentucky Medicaid Mar 1, 2020

Antibiotic dispensing guidelines

March 2020 Anthem Provider News - Kentucky Medicaid Mar 1, 2020

Coding spotlight: HIV and AIDS

March 2020 Anthem Provider News - Kentucky Medicaid Mar 1, 2020

Medicare News - March 2020

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Complex discharge planning

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Personal Home Helper benefit

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Medicare News - February 2020

February 2020 Anthem Provider News - Kentucky Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Kentucky Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

February 2020 Anthem Provider News - Kentucky Medicare Feb 1, 2020

Medicaid News - February 2020

February 2020 Anthem Provider News - Kentucky Medicaid Feb 1, 2020

Postponed - Review of professional claims with emergency room level 5 E/M codes

February 2020 Anthem Provider News - Kentucky Medicaid Feb 1, 2020

New! Provider manual now available

February 2020 Anthem Provider News - Kentucky Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Anthem Provider News - Kentucky Medicaid Feb 1, 2020

Medicare News -- January 2020

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Jan 1, 2020

Introducing ConcertoHealth

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

2020 Medicare risk adjustment provider trainings

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Medicaid News -- January 2020

January 2020 Anthem Provider News - Kentucky Medicaid Jan 1, 2020

August 2019 medical drug benefit clinical criteria updates

January 2020 Anthem Provider News - Kentucky Medicaid Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Kentucky Medicaid Jan 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

January 2020 Anthem Provider News - Kentucky Medicaid Jan 1, 2020

Group Retiree Solutions Kentucky and Ohio HMO Medicare Advantage plans

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

State Auto Insurance Companies to offer Medicare Advantage option

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Medicaid News -- December 2019

December 2019 Anthem Provider News - Kentucky Medicaid Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Kentucky Medicaid Dec 1, 2019

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Provider News - Kentucky Medicaid Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Provider News - Kentucky Medicaid Dec 1, 2019

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Dec 1, 2019

Medicare News -- December 2019

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Provider training series

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Reminder to Medicare Advantage providers

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines Update

November 2019 Anthem Provider News - Kentucky Medicaid Nov 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

November 2019 Anthem Provider News - Kentucky Medicaid Nov 1, 2019

Medical Drug Clinical Criteria updates

November 2019 Anthem Provider News - Kentucky Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Kentucky Medicare Nov 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News - Kentucky Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Kentucky Medicaid Nov 1, 2019

Medicare News -- November 2019

November 2019 Anthem Provider News - Kentucky Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Provider News - Kentucky Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News - Kentucky Medicare Nov 1, 2019

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
Page 1 of 3 Next Page