Colorado
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Colorado Pharmacy Dec 1, 2022

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

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Colorado Pharmacy Dec 1, 2022

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

November 2022 Anthem Provider News - Colorado Pharmacy Nov 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Provider News and Updates - Colorado Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News and Updates - Colorado Pharmacy Oct 1, 2022

Prior authorization specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

October 2022 Anthem Provider News and Updates - Colorado Pharmacy Oct 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News and Updates - Colorado Pharmacy Sep 1, 2022

Prior authorization specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
September 2022 Anthem Provider News and Updates - Colorado Pharmacy Sep 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News and Important Updates - Colorado Behavioral Health Aug 1, 2022

Pharmacy information available online

August 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2022

Prior authorization specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
August 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2022

Drug fee schedule update

July 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News and Updates - Colorado Behavioral Health Jun 1, 2022

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

Material Adverse Change (MAC)
June 2022 Anthem Provider News and Updates - Colorado Pharmacy Jun 1, 2022

Prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
May 2022 Anthem Provider News and Update - Colorado Pharmacy May 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Apr 1, 2022

Reminder on Botox® for Anthem Blue Cross and Blue Shield members

April 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Apr 1, 2022

Drug fee schedule update

April 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Apr 1, 2022

Prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
April 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Apr 1, 2022

Correction to February 2022 specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
March 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Mar 1, 2022

Specialty pharmacy updates – March 2022 (MAC)

Material Adverse Change (MAC)
March 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Mar 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Feb 1, 2022

Specialty pharmacy updates

Material Adverse Change (MAC)

February 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Feb 1, 2022

Drug fee schedule update

January 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Jan 1, 2022

Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline (MAC)

Material Adverse Change (MAC)
December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 1, 2021

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)
December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 1, 2021

Updates to AIM Specialty Health radiation oncology clinical appropriateness guideline (MAC)

Material Adverse Change (MAC)
December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 1, 2021

Updates to AIM advanced imaging clinical appropriateness guideline (MAC)

Material Adverse Change (MAC)
December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 1, 2021

Updated AIM Musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 1, 2021

Pharmacy information available on Anthem.com

December 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Dec 1, 2021

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

Material Adverse Change (MAC)
December 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Dec 1, 2021

Blue High-Performance network name changing for 2022

November 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Nov 1, 2021

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

Material Adverse Change (MAC)
November 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Nov 1, 2021

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

October 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Oct 1, 2021

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

Material Adverse Change (MAC)
September 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Sep 1, 2021

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for Computed Tomography to Detect Coronary Artery Calcification (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Updates to AIM Musculoskeletal Program Effective November 1, 2021 – Site of Care Reviews (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Anthem Blue Cross and Blue Shield to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosting program beginning August 1, 2021

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

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

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Some physician requests to AIM require the submission of documentation to support attestations for prior authorization

August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Reminder: Back pain guide program, effective July 19, 2021

July 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jul 1, 2021

Reminder: Updated AIM rehabilitative program, effective August 1, 2021 – and site of service reviews

July 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jul 1, 2021

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

Material Adverse Change (MAC)
July 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2021

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

New back pain management program effective July 19, 2021

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Updates to AIM Advanced Imaging Clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Updates to AIM Musculoskeletal program clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jun 1, 2021

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

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jun 1, 2021

Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Provider News and Important Updates - Colorado Products & Programs May 1, 2021

Updated AIM Rehabilitative Program Effective August 1, 2021 – Initial Evaluations and Site of Service Reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News and Important Updates - Colorado Products & Programs May 1, 2021

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

Material Adverse Change (MAC)
May 2021 Anthem Provider News and Important Updates - Colorado Pharmacy May 1, 2021

UPDATE--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

Interactive bilingual website taking action for our health

April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News and Important Updates -- Colorado Behavioral Health Apr 1, 2021

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

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Designated Specialty Pharmacy Network

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021 (MAC)

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Mar 1, 2021

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

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Mar 1, 2021

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

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

Anthem to update formulary list for commercial health plan pharmacy benefit

February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

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

Material Adverse Change (MAC)
January 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Jan 1, 2021

IngenioRx Introduces New Pharmacy Network in 2021

January 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Jan 1, 2021

Anthem expands hospice benefit

December 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Dec 1, 2020

Case Management Program

December 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Anthem Provider News and Important Updates -- Colorado Behavioral Health Dec 1, 2020

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

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Dec 1, 2020

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Dec 1, 2020

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

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Nov 1, 2020

IngenioRx Introduces New Pharmacy Network in 2021

November 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum Invitation - Colorado Behavioral Health Oct 14, 2020

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

Material Adverse Change (MAC)
October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Updated Coverage for Breast Cancer prevention medications

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

FDA approvals and expedited pathways used -- New Molecular Entities (NMEs)

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Sep 1, 2020

Site of Care* medical necessity reviews expand to numerous surgical procedures begin December 1, 2020 (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Sep 1, 2020

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

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Sep 1, 2020

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

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Updated Coverage for HIV PrEP medications

July 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Jul 1, 2020
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