Colorado
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

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

Material Adverse Change (MAC)
September 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Sep 1, 2021

Some physician requests to AIM require the submission of documentation to support attestations for prior authorization

August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Anthem Blue Cross and Blue Shield to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosting program beginning August 1, 2021

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

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

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for Computed Tomography to Detect Coronary Artery Calcification (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Updates to AIM Musculoskeletal Program Effective November 1, 2021 – Site of Care Reviews (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

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

Material Adverse Change (MAC)
July 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2021

Reminder: Back pain guide program, effective July 19, 2021

July 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jul 1, 2021

Reminder: Updated AIM rehabilitative program, effective August 1, 2021 – and site of service reviews

July 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2021

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

New back pain management program effective July 19, 2021

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Updates to AIM Advanced Imaging Clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Updates to AIM Musculoskeletal program clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jun 1, 2021

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

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jun 1, 2021

Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Provider News and Important Updates - Colorado Products & Programs May 1, 2021

Updated AIM Rehabilitative Program Effective August 1, 2021 – Initial Evaluations and Site of Service Reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News and Important Updates - Colorado Products & Programs May 1, 2021

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

Material Adverse Change (MAC)
May 2021 Anthem Provider News and Important Updates - Colorado Pharmacy May 1, 2021

UPDATE--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

Interactive bilingual website taking action for our health

April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News and Important Updates -- Colorado Behavioral Health Apr 1, 2021

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

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Designated Specialty Pharmacy Network

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021 (MAC)

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Mar 1, 2021

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

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Mar 1, 2021

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

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

Anthem to update formulary list for commercial health plan pharmacy benefit

February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

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

Material Adverse Change (MAC)
January 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Jan 1, 2021

IngenioRx Introduces New Pharmacy Network in 2021

January 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Jan 1, 2021

Case Management Program

December 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Dec 1, 2020

Anthem expands hospice benefit

December 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Anthem Provider News and Important Updates -- Colorado Behavioral Health Dec 1, 2020

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

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Dec 1, 2020

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Dec 1, 2020

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

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Nov 1, 2020

IngenioRx Introduces New Pharmacy Network in 2021

November 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum Invitation - Colorado Behavioral Health Oct 14, 2020

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

Material Adverse Change (MAC)
October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Updated Coverage for Breast Cancer prevention medications

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

FDA approvals and expedited pathways used -- New Molecular Entities (NMEs)

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Sep 1, 2020

Site of Care* medical necessity reviews expand to numerous surgical procedures begin December 1, 2020 (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Sep 1, 2020

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

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Sep 1, 2020

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

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Updated Coverage for HIV PrEP medications

July 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Jul 1, 2020

UPDATE: New Go Live Date for Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures

July 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Jul 1, 2020

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

Material Adverse Change (MAC)
July 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Jul 1, 2020

Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond.

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information - Colorado Behavioral Health Jun 25, 2020

Anthem enhances process for submitting Behavioral Health Authorizations

June 2020 Anthem Provider News and Important Updates -- Colorado Behavioral Health Jun 1, 2020

Quality Corner: Follow-Up after Hospitalization for Mental Illness

June 2020 Anthem Provider News and Important Updates -- Colorado Behavioral Health Jun 1, 2020

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

June 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Jun 1, 2020

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

Material Adverse Change (MAC)
June 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Jun 1, 2020

Pharmacy information available on anthem.com

June 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Jun 1, 2020

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

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy May 1, 2020

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

Material Adverse Change (MAC)
April 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2020

Pharmacy information available on anthem.com

April 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2020

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

April 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2020

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020 (MAC)

Material Adverse Change (MAC)
March 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Mar 1, 2020

Pharmacy information available on anthem.com

March 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Mar 1, 2020

Shine Light on Depression school-based suicide prevention initiative

February 2020 Anthem Provider News and Important Updates -- Colorado Behavioral Health Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2020

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Anthem Provider News and Important Updates - Colorado Behavioral Health Dec 1, 2019

Pharmacy information available on anthem.com

December 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Dec 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Nov 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Nov 1, 2019

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

October 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Oct 1, 2019

Anthem expands specialty pharmacy prior authorization list (MAC)

Material Adverse Change (MAC)
September 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Sep 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2019

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

August 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2019

Pharmacy information available at anthem.com

August 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2019

Anthem expands specialty pharmacy prior authorization list

June 2019 Anthem Important Updates - Colorado Pharmacy Jun 1, 2019

Anthem Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

June 2019 Anthem Provider Newsletter - Colorado Pharmacy Jun 1, 2019

Pharmacy information available at anthem.com

June 2019 Anthem Provider Newsletter - Colorado Pharmacy Jun 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list

May 2019 Anthem Important Updates - Colorado Pharmacy May 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Provider Newsletter - Colorado Pharmacy May 1, 2019

Anthem expands specialty pharmacy prior authorization list

April 2019 Anthem Important Updates - Colorado Pharmacy Apr 1, 2019

Pharmacy information available at anthem.com

April 2019 Anthem Provider Newsletter - Colorado Pharmacy Apr 1, 2019

Provider Transparency Update

March 2019 Anthem Provider Newsletter - CO Products & Programs Mar 1, 2019
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