Colorado
Provider Communications

May 2020 Anthem Provider News and Important Updates -- Colorado

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Title Category

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

Material Adverse Change (MAC)
Pharmacy

COVID-19 information repository for Anthem care Providers

Administrative

CU Health Plan and UCHealth changes effective July 1, 2020

Administrative

Working with Anthem Webinars -- May 2020 schedule: CU Health Plan and UCHealth changes effective July 1, 2020

Administrative

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

Administrative

Updated Escalation Contact List -- Colorado

Administrative

Non-participating lab referrals

Administrative

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

Administrative

Medical Policy and Clinical UM Guidelines notification letter (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 -- Sleep Disorder Management (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

AIM Specialty Health Clinical Appropriateness Guidelines update -- MSK Interventional Pain Management (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Claims requiring additional documentation (Facility Reimbursement Policy -- Update for Outpatient) (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Reminder about System Updates

Reimbursement Policies

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

Medicare

Multi-dose packaging

Medicare

Keep up with Medicare news

Medicare
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