Anthem Pre-Authorization Change (Update)

Here are the details:

•          Anthem is implementing preauthorization for all 97XXX codes starting March 1^st, 2020. This is a directive from Anthem corporate and they are implementing for all provider types.
•          You may have received a postcard directing you to read the December provider update. We do not believe this is sufficient notification for providers and have told Anthem that we believe they are in violation of Kentucky law.  The KAC believes this type of change falls under Kentucky’s Orange Envelope Law and requires a 90-day notice before implementation can occur.
•          We are working closely with Anthem to find a solution, as we believe this will negatively impact patient access and add administrative costs to our doctors.
•          At this time, we are not asking for any doctor or patient involvement but keep your eyes open for communication from the KAC.

    If you have received rejections from Anthem for missing pre-authorization of a 97XXX code, please remove all patient information and email it to Dr. Nick Payne at drpayne@thekac.ce21newsites.com