Colorado
Provider Communications

May 2020 Anthem Provider News and Important Updates -- Colorado

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Title Category

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

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

AIM Specialty Health Clinical Appropriateness Guidelines update -- MSK Interventional Pain Management (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

AIM Specialty Health Clinical Appropriateness Guidelines update -- Sleep Disorder Management (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

Administrative

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
Pharmacy

Claims requiring additional documentation (Facility Reimbursement Policy -- Update for Outpatient) (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

COVID-19 information repository for Anthem care Providers

Administrative

CU Health Plan and UCHealth changes effective July 1, 2020

Administrative

Keep up with Medicare news

Medicare

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Multi-dose packaging

Medicare

Non-participating lab referrals

Administrative

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

Administrative

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

Medicare

Reminder about System Updates

Reimbursement Policies

Updated Escalation Contact List -- Colorado

Administrative

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Working with Anthem Webinars -- May 2020 schedule: CU Health Plan and UCHealth changes effective July 1, 2020

Administrative
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