CommercialMarch 1, 2022

March 2022 Anthem Provider News and Important Updates - Colorado

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMarch 1, 2022

Updates to AIM Specialty Health outpatient rehabilitative and habilitative services (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialMarch 1, 2022

Updated preventive care guidance regarding screening colonoscopies

Reimbursement PoliciesCommercialMarch 1, 2022

CLARIFICATION to reimbursement policy update: Virtual Visits – professional and facility (MAC)
Material Adverse Change (MAC)

Products & Programs

Federal Employee Program (FEP)CommercialMarch 1, 2022

HEDIS® 2022 Federal Employee Program® medical record request requirements

Federal Employee Program (FEP)CommercialMarch 1, 2022

Change to the Federal Employee Program® Clinical Grievance and Appeal address

PharmacyCommercialMarch 1, 2022

Specialty pharmacy updates – March 2022 (MAC)
Material Adverse Change (MAC)

PharmacyCommercialMarch 1, 2022

Correction to February 2022 specialty pharmacy updates (MAC)
Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageMarch 1, 2022

Clinical criteria updates

State & FederalMedicare AdvantageMarch 1, 2022

Pharmacy updates

State & FederalMedicare AdvantageMarch 1, 2022

Annual wellness visits for Medicare Advantage members