Colorado
Provider Communications


Articles Recent

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 (Updated April 6, 2021)

We recently updated information about reimbursement for the COVID-19 vaccine.

COVID-19 Information - Colorado Administrative Apr 6, 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

Change Notification to Provider and Facility Manual effective July 1, 2021 (MAC)

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

Maximizing efficient, high quality COVID-19 screenings

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

Does your practice offer telehealth services? Let us know!

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

Working with Anthem Webinars -- April 2021 schedule: Enhanced claim question/issue resolution process

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

Payer Spaces: name change announcement

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

Understanding Availity Roles for Electronic Data Interchange (EDI)

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

Make the change to digital authorization/referral and hospital admission notifications using EDI

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

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

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

Chat directly with a Prior Authorization Specialist

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

UPDATE: For Commercial Providers regarding the AIM Sleep Therapy Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

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

Join Anthem in talking about racism and its impact on health

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

Drug fee schedule update

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

MCG Care Guidelines 25th Edition (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Apr 1, 2021

Clinic Charges (Facility Reimbursement Policy) -- New (MAC)

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

Newborn Inpatient Stays (Facility Reimbursement Policy) -- New (MAC)

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

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Apr 1, 2021

In-Office Assessment program

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

Oncology Dose Reduction Program beginning July 1, 2021

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

Clinical Criteria Updates Notification November 2020

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

Clinical Criteria Updates Notification December 2020

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

Does your practice offer telehealth services? Let us know!

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

Keep up with Medicare news

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare 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

Working with Anthem Webinars -- March 2021 schedule: Availity.com Tools and Functionality Overview

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

Medical attachment capability now includes itemized bill and more!

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

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Mar 1, 2021

Access to more claim denial information is now self-service

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

New provider directory indicator for telehealth services

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

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

March 2021 Anthem Provider News and Important Updates -- Colorado Medicare 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

Working with Anthem Webinars -- February 2021 schedule: Anthem.com Overview

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

New provider directory indicator for telehealth services

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

Non-participating lab referrals

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

Medical Policy and Clinical UM Guideline Updates (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Feb 1, 2021

Emergency Room Transfers (Facility Reimbursement Policy) -- New (MAC)

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

Treatment Rooms with Office Evaluation and Management Services (Facility Reimbursement Policy) -- New (MAC)

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies.
Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021 - CO Administrative Jan 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 13, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Colorado Administrative Jan 13, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Colorado Administrative Jan 8, 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

Working with Anthem Webinars -- January 2021 schedule: What’s new in 2021

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

Availity Attachment Tools for Anthem and Affiliate Payers -- Live Webinars

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

New features added to Interactive Care Reviewer

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

Find out in minutes why your claim denied

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

Self-service, digital transactions are fast and easy

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

New Blue HPN® plans in effect

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

Evaluation and Management Changes 2021

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

It is almost CAHPS survey time!

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

Drug fee schedule update

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

MCG care guidelines 24th Edition Customization (MAC)

Material Adverse Change (MAC)
January 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Jan 1, 2021

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
January 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Jan 1, 2021

Frequency Editing (Professional Reimbursement Policy) -- Update (MAC)

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

Guidelines for Reporting Timed Units: Physical Medicine and Rehab Services (Professional Reimbursement Policy) -- Update (MAC)

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

Modifier Rules (Professional Reimbursement Policy) -- Update (MAC)

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

Unit Frequency Maximum for Drugs and Biologic Substances (Professional Reimbursement Policy) -- Update (MAC)

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

Multiple Diagnostic Imaging Procedures (Professional Reimbursement Policy) -- Update (MAC)

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

System updates impacting Professional reimbursement policies for 2021

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

Outpatient System updates for Facility reimbursement policies 2021

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

2021 FEP® Benefit information available online

January 2021 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

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

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

Keep up with Medicare news

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

Anthem expands hospice benefit

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

Case Management Program

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

Working with Anthem Webinars -- January 2021 schedule: What’s new in 2021

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

Anthem makes going digital easy with the Provider Digital Engagement Supplement

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

Access to claim denial information is now self-service

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

New Blue HPN® plans go live on January 1, 2021

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

Anthem contracted Air Ambulance providers in Colorado

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

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

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

Medical Access Standards

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

Coordination of Care

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

Members’ Rights and Responsibilities

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

Important Information about Utilization Management

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

2-minute videos to engage patients about preventive care

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

PCP after-hours access requirements

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

AIM Specialty Health Clinical Appropriateness Guidelines update -- Cardiology (MAC)

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Dec 1, 2020
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