Kentucky
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Kentucky Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Kentucky Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News - Kentucky Medicare Jul 1, 2022

Keep up with Medicaid News - July 2022

- Prior authorization updates for medications billed under the medical benefit
July 2022 Anthem Provider News - Kentucky Medicaid Jul 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

July 2022 Anthem Provider News - Kentucky Medicaid Jul 1, 2022

Diabetes self-management education and support

July 2022 Anthem Provider News - Kentucky Medicaid Jul 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

July 2022 Anthem Provider News - Kentucky Medicare Jul 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Jun 1, 2022

Reimbursement policy update: Inpatient Readmissions

June 2022 Anthem Provider News - Kentucky Medicaid Jun 1, 2022

Keep up with Medicare News - June 2022

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Keep up with Medicaid News - May 2022

- Medical drug benefit Clinical Criteria updates-March 2022 updates
- COVID-19 Vaccine Provider Incentive program ages 5+
May 2022 Anthem Provider News - Kentucky Medicaid May 1, 2022

Provider Pathways eLearning is here!

May 2022 Anthem Provider News - Kentucky Medicaid May 1, 2022

Reimbursement policy update: Corrected Claims

May 2022 Anthem Provider News - Kentucky Medicaid May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

May 2022 Anthem Provider News - Kentucky Medicaid May 1, 2022

Keep up with Medicare News - May 2022

- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Kentucky Medicare May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Kentucky Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Kentucky Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Kentucky Medicare May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) May 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Kentucky Medicaid Apr 1, 2022

Keep up with Medicaid News - April 2022

- Botox update for Anthem Medicaid members
- Prior authorization required for specialty pharmacy drugs
- New specialty pharmacy medical step therapy requirements
April 2022 Anthem Provider News - Kentucky Medicaid Apr 1, 2022

Get faster payments with EFT

April 2022 Anthem Provider News - Kentucky Medicaid Apr 1, 2022

Cancer Care Navigator

April 2022 Anthem Provider News - Kentucky Medicaid Apr 1, 2022

Disease Management/Population Health program

April 2022 Anthem Provider News - Kentucky Medicaid Apr 1, 2022

Getting tobacco users the help they need to quit

April 2022 Anthem Provider News - Kentucky Medicaid Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Kentucky Medicare Apr 1, 2022

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
April 2022 Anthem Provider News - Kentucky Medicare Apr 1, 2022

Get faster payments with EFT

April 2022 Anthem Provider News - Kentucky Medicare Apr 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Provider News - Kentucky Medicare Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Kentucky Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Provider News - Kentucky Medicare Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Kentucky Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Provider News - Kentucky Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Kentucky Medicare Mar 15, 2022

Change to the Federal Employee Program clinical grievance and appeal address

March 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Mar 1, 2022

Keep up with Medicaid News - March 2022

- Medical drug benefit clinical criteria updates
- InterQual 2021.1 revisions
- Prior authorization updates for medications billed under the medical benefit
March 2022 Anthem Provider News - Kentucky Medicaid Mar 1, 2022

It is CAHPS survey time!

March 2022 Anthem Provider News - Kentucky Medicaid Mar 1, 2022

Urinary tract infection toolkits are on the way

March 2022 Anthem Provider News - Kentucky Medicaid Mar 1, 2022

Changes to precertification

March 2022 Anthem Provider News - Kentucky Medicaid Mar 1, 2022

Keep up with Medicare News - March 2022

- Medical step therapy updates
March 2022 Anthem Provider News - Kentucky Medicare Mar 1, 2022

HEDIS 2022 Federal Employee Program medical record request requirements

March 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Provider News - Kentucky Medicare Mar 1, 2022

Pharmacy: Medication adherence

March 2022 Anthem Provider News - Kentucky Medicare Mar 1, 2022

Evaluation and management services correct coding reminder (professional)

March 2022 Anthem Provider News - Kentucky Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Provider News - Kentucky Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News - Kentucky Medicare Mar 1, 2022

Keep up with Medicaid News - February 2022

- COVID-19 Vaccine Provider Incentive program ages 5 to 11
February 2022 Anthem Provider News - Kentucky Medicaid Feb 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

February 2022 Anthem Provider News - Kentucky Medicaid Feb 1, 2022

Clinical criteria updates

February 2022 Anthem Provider News - Kentucky Medicaid Feb 1, 2022

The Behavioral Health Areas of Expertise Profile improves the referral process

February 2022 Anthem Provider News - Kentucky Medicaid Feb 1, 2022

2021 CAHPS survey results

February 2022 Anthem Provider News - Kentucky Medicaid Feb 1, 2022

Keep up with Medicare News - February 2022

- NYC Medicare Advantage Plus update
February 2022 Anthem Provider News - Kentucky Medicare Feb 1, 2022

Kentucky Community and Technical College System offers Medicare Advantage option

February 2022 Anthem Provider News - Kentucky Medicare Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News - Kentucky Medicare Feb 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

February 2022 Anthem Provider News - Kentucky Medicare Feb 1, 2022

2022 FEP benefit information available online

January 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Jan 1, 2022

Keep up with Medicaid News - January 2022

- New department for Medicaid services MAP form available for providers
- Cancer Care Navigator
- Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines
- Medical Policies and Clinical Utilization Management Guidelines update
- Specialty pharmacy site of care
- Prior authorization updates for medications billed under the medical benefit
January 2022 Anthem Provider News - Kentucky Medicaid Jan 1, 2022

Unspecified diagnosis reminder

January 2022 Anthem Provider News - Kentucky Medicaid Jan 1, 2022

Keep up with Medicare News - January 2022

- AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
- Medical step therapy updates
- Anthem expands specialty pharmacy precertification list
January 2022 Anthem Provider News - Kentucky Medicare Jan 1, 2022

Important update on Botox® for Anthem Medicare members

January 2022 Anthem Provider News - Kentucky Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Kentucky Medicare Jan 1, 2022

Keep up with Medicaid News - December 2021

  • Prior authorization updates for specialty pharmacy effective December 1, 2021
  • Prior authorization updates for specialty pharmacy effective January 1, 2022
December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

COVID-19 Vaccine Provider Incentive program

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

HEDIS measures: Follow-Up After ED Visits for Mental Illness and Alcohol and Other Drug Abuse or Dependence

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

4 things you can do to encourage cancer screenings for your female patients

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Provider News - Kentucky Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Anthem Provider News - Kentucky Medicare Dec 1, 2021

Keep up with Medicare News - December 2021

  • Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
  • Medical drug benefit clinical criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical policies and clinical utilization management guidelines update
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (WI only)
December 2021 Anthem Provider News - Kentucky Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Anthem Provider News - Kentucky Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Kentucky Medicare Dec 1, 2021

Reimbursement policy update: Drug screen testing

December 2021 Anthem Provider News - Kentucky Medicare Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Provider News - Kentucky Medicare Dec 1, 2021

Somatus is your resource for kidney care management

December 2021 Anthem Provider News - Kentucky Medicare Dec 1, 2021

Keep up with Medicaid News - November 2021

View these Medicaid articles:
- March 2021 Medical drug benefit Clinical Criteria updates
- May 2021 Medical drug benefit Clinical Criteria updates
November 2021 Anthem Provider News - Kentucky Medicaid Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Kentucky Medicaid Nov 1, 2021

Get your payments faster when you sign up for electronic funds transfer

November 2021 Anthem Provider News - Kentucky Medicaid Nov 1, 2021

Diabetes testing and screening HEDIS measures

November 2021 Anthem Provider News - Kentucky Medicaid Nov 1, 2021

Keep up with Medicare News - November 2021

View these Medicare articles:
- Anthem expands specialty pharmacy prior authorization list
November 2021 Anthem Provider News - Kentucky Medicare Nov 1, 2021

Anthem offering Advance Medical Directives program for 2022

November 2021 Anthem Provider News - Kentucky Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Provider News - Kentucky Medicare Nov 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Provider News - Kentucky Medicare Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Provider News - Kentucky Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Kentucky Medicare Nov 1, 2021

Get your payments faster when you sign up for electronic funds transfer

November 2021 Anthem Provider News - Kentucky Medicare Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

May 2021 medical policies and utilization management guidelines update

October 2021 Anthem Provider News - Kentucky Medicaid Oct 1, 2021

2021 affirmative statement concerning utilization management decisions

October 2021 Anthem Provider News - Kentucky Medicaid Oct 1, 2021

Appointment availability and after-hours access requirements

October 2021 Anthem Provider News - Kentucky Medicaid Oct 1, 2021

Keep up with Medicare news - October 2021

View these Medicare articles:
- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update
October 2021 Anthem Provider News - Kentucky Medicare Oct 1, 2021

New reimbursement policy: Sexually transmitted infections testing (Professional)

October 2021 Anthem Provider News - Kentucky Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Anthem Provider News - Kentucky Medicare Oct 1, 2021

HEDIS medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Provider News - Kentucky Medicare Oct 1, 2021
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