CommercialFebruary 1, 2023
February 2023 Anthem Provider News - Colorado
Administrative
CommercialJanuary 31, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsCommercialJanuary 31, 2023
Working with Anthem webinars - February 2023 scheduleCommercialJanuary 31, 2023
New policy for clinical data sharing and ADT notificationsMaterial Adverse Change (MAC)
CommercialJanuary 31, 2023
Colorado Option Standard networks and plans are now active in market for 2023CommercialJanuary 31, 2023
Have you reviewed your online provider directory information lately?CommercialJanuary 31, 2023
AIM Specialty Health Radiology Clinical Appropriateness Guidelines CPT Code List UpdateMaterial Adverse Change (MAC)
CommercialJanuary 31, 2023
AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.CommercialJanuary 31, 2023
Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elementsCommercialJanuary 31, 2023
Enhancing Provider News website and email communicationsPolicy Updates
Products & Programs
CommercialJanuary 31, 2023
2023 FEP benefit information available onlineCommercialJanuary 31, 2023
Anthem prior authorization updates for specialty pharmacy are availableMaterial Adverse Change (MAC)
State & Federal
Medicare AdvantageJanuary 31, 2023
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update (MAC)Material adverse change (MAC)
Medicare AdvantageJanuary 31, 2023
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness GuidelinesMedicare AdvantageJanuary 31, 2023
Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023Medicare AdvantageJanuary 31, 2023
Keep up with Medicare news - February 2023- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
- Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines — Colorado
- Updates to AIM Specialty Health Musculoskeletal — Interventional Pain Management Clinical Appropriateness Guidelines
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
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