Kentucky
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

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 Medicaid news  - September 2021

View this Medicaid article:
- Clinical criteria web posting May 2020
September 2021 Anthem Provider News - Kentucky Medicaid Sep 1, 2021

Medicaid News - August 2021

View these Medicaid articles:
- InterQual April 2021 revisions
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837
August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

March 2020 medical drug benefit clinical criteria updates

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

June 2020 medical drug benefit clinical criteria updates

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

New reimbursement policy: Modifier 90 Reference (Outside) Laboratory and Pass-Through Billing effective November 1, 2021

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Keeping up with routine vaccination during COVID-19

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Resources to support your diverse patient panel

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Coding spotlight: mental disorders in childhood

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Complex case management program

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Important information about utilization management

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Member rights’ and responsibilities statement

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Medicaid News - July 2021

View these Medicaid articles:
- Aspire Health for members in need of palliative care
- Clinical criteria updates notification December 2020
July 2021 Anthem Provider News - Kentucky Medicaid Jul 1, 2021

Let’s Vaccinate

July 2021 Anthem Provider News - Kentucky Medicaid Jul 1, 2021

What Matters Most: Improving the Patient Experience

July 2021 Anthem Provider News - Kentucky Medicaid Jul 1, 2021

Medicaid News - June 2021

View these Medicaid articles:
- Maximizing efficient, high quality COVID-19 screenings
- Medical drug benefit clinical criteria updates
- Updates to the AIM Advanced Imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Kentucky Medicaid Jun 1, 2021

Provider education program survey: Your Voice Counts

June 2021 Anthem Provider News - Kentucky Medicaid Jun 1, 2021

Important Crib and Car Seat Program update

June 2021 Anthem Provider News - Kentucky Medicaid Jun 1, 2021

Medicaid news - May 2021

View these Medicaid articles:
- Clinical criteria updates notification November 2020
- Update to claim filing limit
May 2021 Anthem Provider News - Kentucky Medicaid May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Anthem Provider News - Kentucky Medicaid May 1, 2021

Continuing medical education and continuing education unit opportunities

May 2021 Anthem Provider News - Kentucky Medicaid May 1, 2021

Sign up to receive email from Anthem Blue Cross and Blue Shield Medicaid

May 2021 Anthem Provider News - Kentucky Medicaid May 1, 2021

Medical drug benefit clinical criteria updates - April 2021

April 2021 Anthem Provider News - Kentucky Medicaid Apr 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News - Kentucky Medicaid Apr 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

March 2021 Anthem Provider News - Kentucky Medicaid Mar 1, 2021

Prior authorization required for radiotherapies and radioimmunotherapies effective March 1, 2021

March 2021 Anthem Provider News - Kentucky Medicaid Mar 1, 2021

Prior authorization requirement changes effective April 1, 2021

March 2021 Anthem Provider News - Kentucky Medicaid Mar 1, 2021

Medicaid News - February 2021

View these Medicaid articles:
- InterQual 2020.1 update
- New specialty pharmacy medical step therapy requirements-1
- New specialty pharmacy medical step therapy requirements-2
- Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging
- Sign up to receive email from Anthem Blue Cross and Blue Shield Medicaid
February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

Medical drug benefit clinical criteria updates - February 2021

February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

CAHPS® survey

February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

FDA approvals and expedited pathways used - new molecular entities (NMEs)

February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

New specialty pharmacy medical step therapy requirements

January 2021 Anthem Provider News - Kentucky Medicaid Jan 1, 2021

New specialty pharmacy medical step therapy requirements

January 2021 Anthem Provider News - Kentucky Medicaid Jan 1, 2021

Disease Management/Population Health program

January 2021 Anthem Provider News - Kentucky Medicaid Jan 1, 2021

Provider Chat: A fast, easy way to get your questions answered

January 2021 Anthem Provider News - Kentucky Medicaid Jan 1, 2021

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

CAHPS education for providers

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

Updates to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

Notifications on the Availity Portal

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

Resources to support your pregnant and postpartum patients and their families

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

Policy Reminder: Nurse Practitioner and Physician Assistant Services, Professional

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

Attention: Updated laboratory fee schedule

November 2020 Anthem Provider News - Kentucky Medicaid Nov 1, 2020

Provider Chat: A fast, easy way to get your questions answered

November 2020 Anthem Provider News - Kentucky Medicaid Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Kentucky Medicaid Nov 1, 2020

Provider transparency update

November 2020 Anthem Provider News - Kentucky Medicaid Nov 1, 2020

New behavioral health discharge call-in line

October 2020 Anthem Provider News - Kentucky Medicaid Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Kentucky Medicaid Oct 1, 2020

Medicaid News - September 2020

View these Medicaid article:
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Provider data update
September 2020 Anthem Provider News - Kentucky Medicaid Sep 1, 2020

What Matters Most online training course: Improving patient experience

September 2020 Anthem Provider News - Kentucky Medicaid Sep 1, 2020

Medicaid News - August 2020

View these Medicaid articles:
- InterQual 2020 update
- Appointment availability and after-hours access requirements
August 2020 Anthem Provider News - Kentucky Medicaid Aug 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Provider News - Kentucky Medicaid Aug 1, 2020

Controlling high blood pressure (CBP)

August 2020 Anthem Provider News - Kentucky Medicaid Aug 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

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

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

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

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

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

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

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

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

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

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
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