Colorado
Provider Communications

February 2020 Anthem Provider News and Important Updates -- Colorado

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Title Category

AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging: Vascular Imaging (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

AIM Specialty Health Clinical Appropriateness Guidelines update -- Musculoskeletal Program: Joint Surgery and Spine Surgery (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

Administrative

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Clinical Laboratory Improvement Amendments (CLIA) claim requirements effective May 1, 2020 (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Keep up with Medicare news

Medicare

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

Medicare

Pre-Service/Prior Authorization Clinical Review Update -- February 2020 (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Reimbursement Policy Update Modifier 62: Co-Surgeons

Medicare

Shine Light on Depression school-based suicide prevention initiative

Behavioral Health

UPDATE: New AIM Rehabilitative Program effective April 1, 2020

Administrative

Working with Anthem Webinars -- February 2020 schedule: Anthem.com Overview (legacy pages retiring March 31, 2020)

Administrative
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