CommercialJune 1, 2021

June 2021 Anthem Provider News and Important Updates - Colorado

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 1, 2021

Medical Policy and Clinical UM Guidelines Notice (MAC)

Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJune 1, 2021

Anthem to enhance claim edits for outpatient facility claims

Products & Programs

Products & ProgramsCommercialJune 1, 2021

Let’s Vaccinate
Help increase your vaccination rates and close gaps-in-care with these tools and strategies.

Products & ProgramsCommercialJune 1, 2021

New back pain management program effective July 19, 2021

Products & ProgramsCommercialJune 1, 2021

Updates to AIM Advanced Imaging Clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

Products & ProgramsCommercialJune 1, 2021

Updates to AIM Musculoskeletal program clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

Federal Employee Program (FEP)CommercialJune 1, 2021

DEXA bone scan criteria for the Federal Employee Program

PharmacyCommercialJune 1, 2021

Pharmacy information available on anthem.com

PharmacyCommercialJune 1, 2021

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

Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageJune 1, 2021

MCG care guidelines 25th edition

State & FederalMedicare AdvantageJune 1, 2021

Medical drug benefit clinical criteria updates

State & FederalMedicare AdvantageJune 1, 2021

Medical policies and clinical utilization management guidelines update