Kentucky
Provider Communications

Articles Month: December 2022

Title Publication Category Date

Attention lab providers: COVID-19 update regarding reimbursement

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

Outpatient system updates for 2023

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

CAA: Timely updates help keep our provider directories current

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

Clinical practice and preventive health guidelines available on anthem.com

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

Member assessment of PCP after-hours messaging in 2022

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

Members’ rights and responsibilities

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

Member’s assessment of behavioral healthcare after-hours messaging in 2022

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

Childhood Immunization Status and Lead Screening in Children for HEDIS

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

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

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

Coordination of care

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

Case management program

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

Important information about utilization management

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

IngenioRx will become CarelonRx on January 1, 2023

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

Notification regarding reimbursement changes to COVID-19 laboratory services codes

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

Signature requirements for laboratory orders or requisitions

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

Professional system updates for 2023

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

Remote EMR access service for HEDIS

December 2022 Anthem Provider News - Kentucky Digital Tools Dec 1, 2022

Federal Employee Program observation conversion for musculoskeletal cases

January 2023 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Dec 30, 2022

Keep up with Medicaid News - January 2023

- Medical drug benefit Clinical Criteria updates
January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

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

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

Important information about utilization management

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

Monkeypox resources and recommendations for our care providers

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

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

Standing Orders for Administering Human Papillomavirus Vaccine to Children and Teens

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

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

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

Using Standing Orders for Administering Vaccines: What You Should Know

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

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

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2022

Medical Policies and Clinical Guidelines updates - December 2022

December 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Personal home helper benefit ending

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

Cleveland-Cliffs offers Medicare Advantage option

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

2023 Medicare Advantage service area and benefit updates

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

Keep up with Medicare News - December 2022

- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Provider News - Kentucky Medicare Dec 1, 2022

Keep up with Medicare news - January 2023

- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
January 2023 Anthem Provider News - Kentucky Medicare Dec 30, 2022

Specialty pharmacy updates

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

Pharmacy information available on the provider website

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

Specialty pharmacy updates - December 2022

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

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Kentucky Reimbursement Policies Dec 30, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

December 2022 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

December 2022 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2022
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