Colorado
Provider Communications

October 2019 Anthem Provider News and Important Updates - Colorado

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Title Category

Anthem specialty pharmacy medical step therapy drug list- clarification

Pharmacy

Important update to Anthem’s commercial drug lists

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Pre-certification/Pre-authorization requirement changes effective January 1, 2020 (MAC)

Material Adverse Change (MAC)
Administrative

Working with Anthem Webinars -- October 2019 schedule: Provider Enrollment Application tool on Availity

Administrative

Anthem launches additional changes to anthem.com

Administrative

Drug fee schedule update

Administrative

National Accounts 2020 Pre-certification list

Administrative

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

Administrative

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

Administrative

Place of Service (Professional Reimbursement Policy - Update) (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Federal Employee Program® Specialty Pharmacy Clinical Site of Care prior authorization review (MAC)

Material Adverse Change (MAC)
Federal Employee Plan (FEP)

Pre-certification request turnaround times for the Federal Employee Program

Federal Employee Plan (FEP)

US Antibiotic Awareness Week is November 11-18, 2019

Federal Employee Plan (FEP)

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Update: 2019 risk adjustment provider trainings

Medicare

Medicare preferred continuous glucose monitors

Medicare

Medical drug Clinical Criteria updates

Medicare

Prior authorization requirements changes effective November 1, 2019

Medicare

Aspire Telehealth Palliative Care program

Medicare

Keep up with Medicare news

Medicare
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