CommercialOctober 1, 2019

October 2019 Anthem Provider News and Important Updates - Colorado

Administrative

AdministrativeCommercialSeptember 30, 2019

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

AdministrativeCommercialSeptember 30, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

AdministrativeCommercialSeptember 30, 2019

National Accounts 2020 Pre-certification list

AdministrativeCommercialSeptember 30, 2019

Drug fee schedule update

AdministrativeCommercialSeptember 30, 2019

Anthem launches additional changes to anthem.com

AdministrativeCommercialSeptember 30, 2019

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

AdministrativeCommercialSeptember 30, 2019

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

Policy Updates

Reimbursement PoliciesCommercialSeptember 30, 2019

Place of Service (Professional Reimbursement Policy - Update) (MAC)
Material Adverse Change (MAC)

Products & Programs

Federal Employee Program (FEP)CommercialSeptember 30, 2019

US Antibiotic Awareness Week is November 11-18, 2019

Federal Employee Program (FEP)CommercialSeptember 30, 2019

Pre-certification request turnaround times for the Federal Employee Program

Federal Employee Program (FEP)CommercialSeptember 30, 2019

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

PharmacyCommercialSeptember 30, 2019

Anthem specialty pharmacy medical step therapy drug list- clarification

PharmacyCommercialSeptember 30, 2019

Pharmacy information available on anthem.com

PharmacyCommercialSeptember 30, 2019

Important update to Anthem’s commercial drug lists

State & Federal

State & FederalMedicare AdvantageSeptember 30, 2019

Keep up with Medicare news

State & FederalMedicare AdvantageSeptember 30, 2019

Aspire Telehealth Palliative Care program

State & FederalMedicare AdvantageSeptember 30, 2019

Prior authorization requirements changes effective November 1, 2019

State & FederalMedicare AdvantageSeptember 30, 2019

Medical drug Clinical Criteria updates

State & FederalMedicare AdvantageSeptember 30, 2019

Medicare preferred continuous glucose monitors

State & FederalMedicare AdvantageSeptember 30, 2019

Update: 2019 risk adjustment provider trainings

State & FederalMedicare AdvantageSeptember 30, 2019

Medical Policies and Clinical Utilization Management Guidelines update