Kentucky
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

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

Streamline workflow with solicited medical attachments

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Screening for alcohol use disorder in high-prevalence demographics

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

Coding Spotlight - Obesity

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for Darzalex (daratumumab) drug

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for Cabazitaxel (Jevtana)

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

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

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

Miscellaneous durable medical equipment (DME) billing guidelines

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

New! Provider manual now available

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

Medical Policies and Clinical Utilization Management Guidelines update - May 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Resources to support your diverse patient panel

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

Medical Policies and Clinical Utilization Management Guidelines update - January 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Clinical Utilization Management Guidelines update - March 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Vaginal birth after cesarean (VBAC) shared decision-making aid available

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

EDI Gateway migration

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

The Anthem, Inc. name is changing

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

Keep up with Medicaid News - November 2022

- Prior authorization requirement changes effective November 1, 2022
- Provider notice for COVID-19 testing
- New phone number for AIM Specialty Health
- Prior authorization requirement changes
- Mental health needs during the eastern Kentucky flood
- New specialty pharmacy medical step therapy requirements
November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

NCQA: Pharmacy Management Information

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

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

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

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

Get faster payments with EFT

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

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

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

Cancer Care Navigator

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

Alcohol use disorders often coexist with psychiatric disorders

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

NCQA: Practitioners’ Rights during Credentialing Process

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Disease Management/Population Health program

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

Enhancing claims attachment processes through digital applications

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

Getting tobacco users the help they need to quit

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

Update: Drug Screen

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

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

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

What Matters Most: Improving the Patient Experience CME

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Submitting prior authorizations is getting easier

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

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

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

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Review of professional claims with emergency department level 5 E&M codes

July 2019 Anthem Provider News - Kentucky Medicaid Jul 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

New service types added to Availity

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

Latest updates to Electronic Data Interchange Gateway migration

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

CAHPS education for providers

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

Quarterly Pharmacy Formulary Change Notice

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Coding Spotlight: Hypertension

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

Prior Authorization Requirements for Somatrem

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Updates to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

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

Prior Authorization Requirements for Sublocade

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Reimbursement Policy Update: Claims Requiring Additional Documentation

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

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

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

Unspecified diagnosis code update

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

Modifier use reminders

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

Provider payment schedule updates

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

Medical drug benefit clinical criteria updates - April 2021

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

Clinical Criteria updates

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

Access to more claim denial information is now self-service

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

2019 Provider Satisfaction Survey: We need your help!

September 2019 Anthem Provider News - Kentucky Medicaid Sep 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

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

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

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

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

Monkeypox and smallpox vaccines: Product code on claims

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

Childhood Immunization Status and Lead Screening in Children for HEDIS

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

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

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

Urinary tract infection toolkits are on the way

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

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

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

Changes to precertification

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

Prior authorization requirement changes effective April 1, 2021

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

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
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