CommercialFebruary 1, 2020

February 2020 Anthem Provider News and Important Updates -- Colorado

Behavioral Health

Behavioral HealthCommercialJanuary 31, 2020

Shine Light on Depression school-based suicide prevention initiative

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJanuary 31, 2020

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

Medical Policy & Clinical GuidelinesCommercialJanuary 31, 2020

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

Medical Policy & Clinical GuidelinesCommercialJanuary 31, 2020

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

Medical Policy & Clinical GuidelinesCommercialJanuary 31, 2020

Medical Policy and Clinical UM Guidelines notification letter (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJanuary 31, 2020

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

Products & Programs

State & Federal

State & FederalMedicare AdvantageJanuary 31, 2020

Reimbursement Policy Update Modifier 62: Co-Surgeons

State & FederalMedicare AdvantageJanuary 31, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

State & FederalMedicare AdvantageJanuary 31, 2020

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