Colorado
Provider Communications

October 2019 Anthem Provider News and Important Updates - Colorado

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Title Category

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

Anthem launches additional changes to anthem.com

Administrative

Anthem specialty pharmacy medical step therapy drug list- clarification

Pharmacy

Aspire Telehealth Palliative Care program

Medicare

Drug fee schedule update

Administrative

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

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

Important update to Anthem’s commercial drug lists

Pharmacy

Keep up with Medicare news

Medicare

Medical drug Clinical Criteria updates

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Medicare preferred continuous glucose monitors

Medicare

National Accounts 2020 Pre-certification list

Administrative

Pharmacy information available on anthem.com

Pharmacy

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

Material Adverse Change (MAC)
Reimbursement Policies

Pre-certification request turnaround times for the Federal Employee Program

Federal Employee Plan (FEP)

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

Material Adverse Change (MAC)
Administrative

Prior authorization requirements changes effective November 1, 2019

Medicare

Update: 2019 risk adjustment provider trainings

Medicare

US Antibiotic Awareness Week is November 11-18, 2019

Federal Employee Plan (FEP)

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

Administrative
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