Colorado
Provider Communications

December 2020 Anthem Provider News and Important Updates -- Colorado

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Title Category

Anthem expands hospice benefit

Products & Programs

Case Management Program

Products & Programs

Access requirements for behavioral healthcare services

Behavioral Health

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

Material Adverse Change (MAC)
Pharmacy

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

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

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

Administrative

Anthem makes going digital easy with the Provider Digital Engagement Supplement

Administrative

Access to claim denial information is now self-service

Administrative

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

Administrative

Anthem contracted Air Ambulance providers in Colorado

Administrative

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

Administrative

Medical Access Standards

Administrative

Coordination of Care

Administrative

Members’ Rights and Responsibilities

Administrative

Important Information about Utilization Management

Administrative

2-minute videos to engage patients about preventive care

Administrative

PCP after-hours access requirements

Administrative

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

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

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 -- Radiation Oncology (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Clinical practice and preventive health guidelines available on anthem.com

Medical Policy & Clinical Guidelines

Expenses Included in Facility Services (Professional Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Bundled Services and Supplies (Professional Reimbursement Policy) -- Update

Reimbursement Policies

Digital transactions cut administrative tasks in half

Medicare

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

Medicare

2021 Medicare Advantage individual benefits and formularies

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Keep up with Medicare news

Medicare
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