Colorado
Provider Communications

February 2020 Anthem Provider News and Important Updates -- Colorado

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Title Category

Shine Light on Depression school-based suicide prevention initiative

Behavioral Health

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Working with Anthem Webinars -- February 2020 schedule: Anthem.com Overview (legacy pages retiring March 31, 2020)

Administrative

UPDATE: New AIM Rehabilitative Program effective April 1, 2020

Administrative

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

Administrative

Pre-Service/Prior Authorization Clinical Review Update -- February 2020 (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

AIM Specialty Health Clinical Appropriateness Guidelines update -- Musculoskeletal Program: Joint Surgery and Spine Surgery (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

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

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Clinical Laboratory Improvement Amendments (CLIA) claim requirements effective May 1, 2020 (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Reimbursement Policy Update Modifier 62: Co-Surgeons

Medicare

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

Medicare

Keep up with Medicare news

Medicare
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