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RESOURCES: Important Updates Concerning COVID-19

Posted by Admin Posted on Apr 01 2020

IMPORTANT UPDATE: From UnitedHealthcare

Suspension of prior authorization requirements to a post-acute care setting through May 31, 2020. Details: Waiving prior authorization for admissions to: long-term care acute facilities (LTAC), acute inpatient rehabilitation (AIR), and skilled nursing facilities (SNF). Consistent with existing policy, the admitting provider must notify us within 48 hours of transfer and penalties still apply. Length of stay reviews still apply, including denials for days that exceed approved length. Discharges to home health will not require prior authorization. Prior authorization is not required for COVID-19 testing and COVID-19 testing related visits.

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IMPORTANT UPDATE: From Anthem Blue Cross Blue Shield

Anthem is committed to working with and supporting providers. As of March 16, Anthem is removing prior authorization requirements for skilled nursing facilities (SNF) for the next 90 days to assist hospitals in managing possible capacity issues. SNF Providers should continue admission notification to Anthem in an effort to verify eligibility and benefits for all members prior to rendering services and to assist with ensuring timely payments. In addition, Anthem is also extending the length of time a prior authorization is in effect for elective inpatient and outpatient procedures to 90 days. This will help prevent the need for additional outreach to Anthem to adjust the date of service covered by the authorization. This applies to members of all lines of business, as well as self-insured plan members.

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Kentucky Medicaid COVID-19 Information - Cabinet for Health and Family Services

The information on this page is specific to Medicaid beneficiaries and providers. For more information about COVID-19, refer to the state COVID-19 website.

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UPDATE: KLOCS Training

More information will be provided when the new "go-live date" is determined and training forums are rescheduled. Thank you for your understanding as well as your continued commitment to keep your communities and residents safe.

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