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Provider News | Ambetter from WellCare of Kentucky

 

Provider News

February

Routine Foot Care

02/12/25

Ambetter Health reimburses for routine foot care in accordance with state mandates and CMS guidelines. Routine Foot Care services are not restricted to podiatrists. These services may be used by any certified physician or non-physician (NPP) specialty.

November

Ambetter from WellCare of Kentucky introducing Availity Editing Services

11/14/24

In a continuous effort to make it easier to do business with us Ambetter from WellCare of Kentucky is introducing Availity Editing Services (AES).

Razormetrics Bulletin

11/05/24

Lower drug costs for your patients are on the way.

October

Availity Essentials

10/24/24

Ambetter from WellCare of Kentucky has chosen Availity Essentials as its new, secure provider portal. Starting 11/18/2024, you can validate eligibility and benefits, submit claims, check claim status, submit authorizations, and access Ambetter from WellCare of Kentucky payerresources via Availity Essentials.

Ambetter Health Solutions to Begin January 1, 2025

10/21/24

Ambetter Health Solutions is a new offering from Ambetter Health that will be available to individuals who receive a defined contribution from their employer to purchase individual health insurance, such as through Individual Coverage Health Reimbursement Arrangements (ICHRAs).

September

Prior Authorization (PA) Supplemental Form

09/25/24

What is a PA Supplemental Form? An optional page meant to be used in conjunction with the plan’s Prior Authorization Request form when a request exceeds more than four (4) Procedure Codes. This page should never be submitted alone.

July

KENTUCKY REPRODUCTIVE HEALTH BILLING REQUIREMENTS UPDATE

07/19/24

Beginning March 1, 2024, the billing requirements are changing for Reproductive Health Services in the State of Kentucky.

November

Epic Payer Platform

11/08/23

We are pleased to be participating in Epic Payer Platform, a platform that enables more secure, efficient bi-directional data exchange between providers and health plans, as part of our broader interoperability strategy.

Find-a-Provider Directory

11/06/23

Thank you for your continued partnership. We remain committed to ensuring our members have access to quality care from valued providers such as yourself.

October

Express Scripts Transition: Frequently Asked Questions

10/17/23

This FAQ provides additional information on the migration of our Pharmacy Benefit Manager (PBM) services from CVS® to Express Scripts®, effective January 1, 2024.
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