Colorado
Provider Communications

June 2022 Anthem Provider News and Updates - Colorado

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Title Category

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

Material Adverse Change (MAC)
Pharmacy

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare

CAA: Provider directories accuracy is important

Administrative

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield and Motivo* for Anthem Blue Cross and Blue Shield providers on June 22, 2022.
Administrative

Keep up with Medicare news – June 2022

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

Medical policies and clinical utilization Management guidelines update

Medicare

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Once-a-year testing is critically important to providing quality diabetes care

Administrative

Opioid overdose deaths: What can we do?

Behavioral Health

Process change for Federal Employee Program® third-party correspondence requests

Federal Employee Plan (FEP)

Provider notice for COVID-19 testing

Medicare

Provider outreach to validate your provider data

Administrative

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services -- Facility (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Updated escalation contact list

Administrative

Updated use of Modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Working with Anthem webinars – June 2022 schedule: Availity Attachments tool

Administrative
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