CommercialOctober 1, 2022

October 2022 Anthem Provider News and Updates - Colorado

Policy Updates

Medical Policy & Clinical GuidelinesCommercialOctober 1, 2022

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

Reimbursement PoliciesCommercialOctober 1, 2022

Reimbursement Policy update: Multiple and Bilateral Surgery Processing - professional (MAC)
Material Adverse Change (MAC)

Products & Programs

PharmacyCommercialOctober 1, 2022

Prior authorization specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

PharmacyCommercialOctober 1, 2022

Pharmacy information available on provider website

PharmacyCommercialOctober 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

State & Federal

State & FederalMedicare AdvantageOctober 1, 2022

Keep up with Medicare news - October 2022

State & FederalMedicare AdvantageOctober 1, 2022

Reimbursement policy retraction: Sexually Transmitted Infections Testing - professional
Policy 21-001, effective January 1, 2022

State & FederalMedicare AdvantageOctober 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates