Kentucky
Provider Communications

Articles

Title Publication Category Date

Attention lab providers: COVID-19 update regarding reimbursement

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

Medical Policies and Clinical Guidelines updates - December 2022

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

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

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

December 2022 Anthem Provider News - Kentucky Reimbursement Policies 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

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

Remote EMR access service for HEDIS

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

Signature requirements for laboratory orders or requisitions

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

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Kentucky Medicare 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

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

Specialty pharmacy updates - December 2022

December 2022 Anthem Provider News - Kentucky Pharmacy Dec 1, 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

Personal home helper benefit ending

December 2022 Anthem Provider News - Kentucky Medicare Dec 1, 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

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Kentucky Pharmacy 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

For provider enrollment, use the Digital Provider Enrollment tool in Availity, not the Provider Maintenance Form

For provider enrollment, use the Digital Provider Enrollment tool in Availity Digital Tools Nov 15, 2022

PCP searches in Find Care

PCP searches in Find Care - Kentucky Administrative Nov 2, 2022

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
- Provider notice for COVID-19 testing
November 2022 Anthem Provider News - Kentucky Medicare Nov 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

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

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

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

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

Alcohol use disorders often coexist with psychiatric disorders

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

Enhancing claims attachment processes through digital applications

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

Enhancing claims attachment processes through digital applications

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

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2022

Specialty pharmacy updates - November 2022

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

Medical policy and clinical guideline updates - November 2022

November 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service - Facility

November 2022 Anthem Provider News - Kentucky Reimbursement Policies Nov 1, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

Authorization application enhancements: faster, easier, and more efficient

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

Personalized Match

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

CAA: Keep your provider directory information up to date

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

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

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

Information from Anthem for Care Providers about COVID-19 – RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.
Future updates regarding COVID-19 will appear in the monthly Provider News publication.
COVID-19 Information - Kentucky – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Kentucky Administrative Oct 7, 2022

National Accounts 2023 Precertification list

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

The Provider Learning Hub is here

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

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

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

CAA: Review your online provider directory information

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

New Strategic Provider System implementation in August 2022

October 2022 Anthem Provider News - Kentucky Digital Tools Oct 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

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

Keep up with Medicare News - October 2022

  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
  • Anthem expands specialty pharmacy precertification list-1
  • Anthem expands specialty pharmacy precertification list-2
  • Consultation codes
October 2022 Anthem Provider News - Kentucky Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

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

Courtesy notification of specialty pharmacy medical step therapy updates

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

New Digital Provider Enrollment tool added to Availity

October 2022 Anthem Provider News - Kentucky Digital Tools Oct 1, 2022

New Digital Provider Enrollment tool added to Availity

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

Monkeypox and smallpox vaccines: Product code on claims

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

IngenioRx will become CarelonRx on January 1, 2023

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

Specialty pharmacy updates - October 2022

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

Pharmacy information available on provider website

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

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

October 2022 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

October 2022 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2022

Keep up with Medicaid News - October 2022

  • Prior authorization update for select durable medical equipment (DME) items
  • Prior authorization updates for medications billed under the medical benefit-1
  • Prior authorization updates for medications billed under the medical benefit-2
  • HPV Vaccine Provider Incentive program for members aged 13
October 2022 Anthem Provider News - Kentucky Medicaid Oct 1, 2022

Medical drug benefit Clinical Criteria updates

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

New Digital Provider Enrollment tool added to Availity

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

Clinical Criteria updates

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

Members’ Rights and Responsibilities section

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

Updates for medication codes billed under the medical benefit

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

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Kentucky Administrative Sep 9, 2022

Reminder: Use Availity to submit medical records

September 2022 Anthem Provider News - Kentucky Digital Tools Sep 1, 2022

Specialty pharmacy updates - September 2022

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

Medical policy and clinical guideline updates – September 2022

September 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Sep 1, 2022

Reimbursement policy update: Modifier Rules - Professional

September 2022 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

September 2022 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

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

Anthem Medicaid responds to those affected by floods in eastern Kentucky

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

Keep up with Medicaid News - September 2022

- New Strategic Provider System will launch in August 2022
- Clinical criteria updates
- COVID-19 Vaccine Provider Incentive Program ages 6 months+
- Prior authorization updates for medications billed under the medical benefit
September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Specialty pharmacy site of care program retraction

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

Complex Case Management program

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

New reimbursement policy: Diagnosis-related group newborn inpatient stays - Facility

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

New specialty pharmacy medical step therapy requirements

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

Alcohol use disorders linked to chronic diseases

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

InterQual 2022 revisions

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

Keep up with Medicare News - September 2022

- Anthem expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- New Strategic Provider System will launch in August 2022
September 2022 Anthem Provider News - Kentucky Medicare Sep 1, 2022

Continuing to Explore the Intersection of Race and Disability

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

Monkeypox resources and recommendations for our care providers

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

Important information about women’s preventive care visits

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

Correction: New patient evaluation and management services when reported for the same patient within the last three years

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

Drug code billing reminder

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

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

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

Anthem to accept Hospital in Home services

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

Updates to the Claim Attachment workflow

September 2022 Anthem Provider News - Kentucky Digital Tools Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

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

Reminder: AIM prior authorization phone number change for Medicare

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

Anthem expands specialty pharmacy precertification list

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