Kentucky
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

2020 Medicare risk adjustment provider trainings

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

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

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News & Announcements and Important Medicare Advantage Updates .
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

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 - 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

2020 FEP® Benefit information available online

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

Medicare News -- January 2020

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

Introducing ConcertoHealth

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

Healthcare Quality Patient Assessment Form and Patient Assessment Form

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

Verifying and updating your provider information

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

Electronic submission is preferred method for requesting pharmacy prior authorization

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

June 2019 Medical Policies and Clinical Utilization Management Guidelines Update

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

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

Prior authorization requirements changes effective November 1, 2019

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

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
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