Blue Cross Blue Shield of Kentucky

Providers - Kentucky

Welcome, providers!

Resources that help healthcare professionals do what they do best — care for our members.

At Anthem Blue Cross and Blue Shield Medicaid (Anthem), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

COVID-19 information

Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Receive email from Anthem Blue Cross and Blue Shield Medicaid (Anthem)

Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Use the Provider Maintenance Form to update your email.

Availity access

The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity, you can:

Request authorizations.
Submit claims.
Confirm eligibility.

Provider news

The latest articles and announcements on our Medicaid policies, processes, updates to Clinical Guidelines, claims filings, state and federal regulatory changes, and more:

Medicaid updates

Effective July 1, 2021, the following changes will be made to the Kentucky Medicaid pharmacy benefit:

  • All Kentucky Medicaid managed care organizations (MCO), including Anthem Blue Cross and Blue Shield Medicaid, will be partnering with MedImpact* for pharmacy claims processing and pharmacy prior authorizations (PA).
  • All PAs will be managed by MedImpact. Call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. You may also submit your request online through Cover My Meds,* Surescripts,* or CenterX ePA* websites. For all medically billed drug (Jcode) PA requests, continue to send those directly to Anthem Blue Cross and Blue Shield Medicaid for review.

* MedImpact, Cover My Meds, Surescripts, and CenterX ePA are independent companies providing some pharmacy benefit services on behalf of Anthem Blue Cross and Blue Shield Medicaid.

Elsevier Performance Manager

At Anthem Blue Cross and Blue Shield Medicaid (Anthem), we are committed to providing the educational and training resources our healthcare professionals need. The Elsevier Performance Manager (Elsevier)* learning management system is a web-based educational tool that allows providers to self-select courses that meet their interest.

Voluntary recall of Philips Respironics

CPAP machine, BiPAP machine, and ventilators Blurb: On June 14, 2021, Philips Respironics* issued a voluntary recall on specific brands of their continuous positive airway pressure (CPAP) machines, bilevel positive airway pressure (BiPAP) machines, and ventilators.

Featured resources

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health providers

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources. This enables Anthem to meet the needs of members with mental health and substance use disorders as well as those with intellectual and developmental disabilities.

Need to report changes in practice status to Anthem?

Please complete the Provider Maintenance Form.

Government resources

Kentucky Cabinet for Health and Human Services: Department for Medicaid Services

Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid.

Provider tools & resources

Interested in becoming a provider in the Anthem network?

We look forward to working with you to provide quality services to our members.