Kentucky
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

2019 Provider Satisfaction Survey: We need your help!

September 2019 Anthem Provider News - Kentucky Medicaid Sep 1, 2019

2020 affirmative statement concerning utilization management decisions

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

2021 affirmative statement concerning utilization management decisions

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

2021 CAHPS survey results

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

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

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

Access to more claim denial information is now self-service

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

Acquisition of Beacon Health Options

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

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

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

Anthem Medicaid responds to those affected by floods in eastern Kentucky

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Antibiotic dispensing guidelines

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

Appointment availability and after-hours access requirements

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

Aspire Health now provides palliative care for Medicaid members

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

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

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

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

Attention: Updated laboratory fee schedule

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

August 2019 medical drug benefit clinical criteria updates

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

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

CAHPS education for providers

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

CAHPS® survey

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

Cancer Care Navigator

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

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Changes to precertification

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

Childhood Immunization Status and Lead Screening in Children for HEDIS

February 2023 Anthem Provider News - Kentucky Medicaid Feb 1, 2023

Chlamydia screening

August 2022 Anthem Provider News - Kentucky Medicaid Aug 1, 2022

Clinical Criteria updates

September 2019 Anthem Provider News - Kentucky Medicaid Sep 1, 2019

Clinical criteria updates

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

Clinical Criteria updates

October 2022 Anthem Provider News - Kentucky Medicaid Oct 1, 2022

Clinical Criteria updates - May 2019

May 2019 Anthem Provider Newsletter - Kentucky Medicaid May 1, 2019

Clinical Utilization Management Guidelines update - March 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Coding Spotlight - Obesity

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 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

Coding spotlight: HIV and AIDS

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

Coding Spotlight: Hypertension

July 2019 Anthem Provider News - Kentucky Medicaid Jul 1, 2019

Coding spotlight: mental disorders in childhood

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

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 behavioral and emotional disorders

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

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

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

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

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

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Coding tip for psychological and neuropsychological testing

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

Coming soon: electronic attachments

August 2019 Anthem Provider News - Kentucky Medicaid Aug 1, 2019

Complex Case Management program

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

Complex Case Management program

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Complex Case Management program

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Complex case management program

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

Continuing medical education and continuing education unit opportunities

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

Controlling high blood pressure (CBP)

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

Copay update

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

COVID-19 Vaccine Provider Incentive program

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

Diabetes self-management education and support

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

Diabetes testing and screening HEDIS measures

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

Digital transactions cut administrative tasks in half

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

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Kentucky Medicaid Nov 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

Disease Management/Population Health program

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

Disease Management/Population Health program

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

EDI Gateway migration

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Electronic data interchange gateway update

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

Electronic data interchange process

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

Electronic submission is preferred method for requesting pharmacy prior authorization

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

Enhancing claims attachment processes through digital applications

November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

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

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

Follow-Up After Hospitalization for Mental Illness

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

Get faster payments with EFT

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

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

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

Getting tobacco users the help they need to quit

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

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

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

Good news: Non-payment remittance advice enhancements are here

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

Guidance for coding evaluation and management services for new and established patients

November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

February 2021 Anthem Provider News - Kentucky Medicaid Feb 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

HPV Vaccination Starts at 9: Provider and Health Systems Toolbox

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

HPV Vaccine Provider Incentive Program ages 9 to 13

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

Important Crib and Car Seat Program update

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

Important information about utilization management

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

Important information about utilization management

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Important information about utilization management

December 2022 Anthem Provider News - Kentucky Medicaid Dec 1, 2022

Important information about utilization management

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

InterQual 2022 revisions

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

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

It is CAHPS survey time!

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

July 2018 Medical Policies and Clinical Utilization Management Guidelines update

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines Update

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

June 2020 medical drug benefit clinical criteria updates

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

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

Keep up with Medicaid News - August 2022

- Medical drug benefit Clinical Criteria updates
August 2022 Anthem Provider News - Kentucky Medicaid Aug 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

Keep up with Medicaid News - December 2022

- Prior authorization updates for medications billed under the medical benefit (Fyarro, BESREMi, Vyvgart, Adbry, Leqvio)
- New specialty pharmacy medical step therapy requirements (Mvasi, Avastin, Zirabev)
December 2022 Anthem Provider News - Kentucky Medicaid Dec 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

Keep up with Medicaid News - February 2023

- Clinical Criteria updates
- This is Quitting: Helping teens and young adults quit vaping
- Billing for sports physical exams
- Prior authorization updates for medications billed under the medical benefit (Enjaymo, Kimmtrak, Tezspire, Voxzogo)
- Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
- Introducing the Provider Learning Hub
February 2023 Anthem Provider News - Kentucky Medicaid Feb 1, 2023

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

Keep up with Medicaid News - January 2023

- Medical drug benefit Clinical Criteria updates
January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 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

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
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