Colorado
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Medical Policies and Clinical Utilization Management Guidelines update

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

Update: 2019 risk adjustment provider trainings

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

Medicare preferred continuous glucose monitors

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

Medical drug Clinical Criteria updates

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

Prior authorization requirements changes effective November 1, 2019

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

Medical drug benefit Clinical Criteria updates

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

Aspire Telehealth Palliative Care program

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

Keep up with Medicare news

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

Keep up with Medicare news

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

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

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

Medical drug benefit Clinical Criteria updates (June 2020)

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

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

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

Patient360 enhancement for medical providers

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

Medical drug benefit Clinical Criteria updates

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

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Provider transparency update

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

2020 Medicare risk adjustment provider trainings

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

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

Prior authorization requirements for the below codes

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

Anthem Blue Cross and Blue Shield working with Optum to collect medical records for Medicare risk adjustment

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Anthem Blue Cross and Blue Shield working with Optum to collect medical records for risk adjustment

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

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

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

Update: Notice of changes to the AIM musculoskeletal program

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

Keep up with Medicare news

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

Helping our senior members

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

MCG care guidelines 25th edition

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

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

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

Social determinants of health support expanding with GroundGame Health

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

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Medical drug benefit clinical criteria updates

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

Keep up with Medicare news

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

Electronic claim payment reconsideration

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

Keep up with Medicare news

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

Medical policies and clinical utilization management guidelines update

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

New policy: Sexually transmitted infections testing - professional

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

Keep up with Medicare news

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

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

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

Information about 2021 special needs plans

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

New medical step therapy requirements

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

Keep up with Medicare news – October 2021

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

Coming soon: electronic attachments

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.  

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Changes to PA requirements

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Colorado Public Employees' Retirement Association (PERA) Offers Medicare Advantage Option

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

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

Keep up with Medicare news

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

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

Infliximab Step Therapy – effective July 15, 2021

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

Reimbursement Policy Update Modifier 62: Co-Surgeons

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

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

New MCG Care Guidelines 24th edition

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

AIM Musculoskeletal program expansion

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

Keep up with Medicare news

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

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO Medicare Oct 3, 2018

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Medicare Advantage Provider News Archives.
COVID-19 Information - Colorado Medicare Mar 25, 2020

New service types added to Availity

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

New Reimbursement Policy: Drug Screen Testing

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

AIM Specialty Health programs may require documentation

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

Special needs plans -- provider training required

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

Keep up with Medicare news

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

2020 Special Needs Plans

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

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

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

Medical drug benefit Clinical Criteria updates

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

Provider claim questions/issue resolution process flow for Colorado -- Medicare members

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

Digital transactions cut administrative tasks in half

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

Keep up with Medicare news

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

Preferred continuous glucose monitors

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

Provider Chat -- A fast, easy way to get your questions answered

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

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

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

Access to more claim denial information is now self-service

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

Outpatient Rehabilitation Program transitioning to AIM

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

Medical drug benefit Clinical Criteria updates -- June 2020

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

2021 Medicare Advantage individual benefits and formularies

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

New provider directory indicator for telehealth services

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

Sepsis diagnosis coding and billing reminder

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

FDA approvals and expedited pathways used -- new molecular entities

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

Home health billing guidelines for contracted providers

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

Keep up with Medicare news

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

Keep up with Medicare news

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

Keep up with Medicare news

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