Colorado
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.  

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

New policy: Sexually transmitted infections testing - professional

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

Information about 2021 special needs plans

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

HEDIS® medical record submission made easier with our Remote EMR Access Service

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

New medical step therapy requirements

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

Get your payments faster when you sign up for electronic funds transfer

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

Keep up with Medicare news – October 2021

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

Reimbursement policy update: DRG inpatient facility transfers

Policy update: DRG inpatient facility transfers effective November 20, 2021
September 2021 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2021

Prior authorization/pre-certification form notification

September 2021 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2021

Keep up with Medicare news – September 2021

  • Clinical criteria updates notification May 2021
  • Anthem Blue Cross and Blue Shield working with Aledade to offer value-based solutions to smaller independent practices in Colorado
September 2021 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2021

Important Update: Change in Email Submission of Service Requests for Federal Employee Program® (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Aug 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

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

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

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

Infliximab Step Therapy – effective July 15, 2021

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

Reimbursement policy reminder: Inpatient readmissions

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

Updates to the AIM advanced imaging clinical appropriateness guidelines

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

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

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

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1845

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

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

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

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

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

Medical drug benefit clinical criteria updates

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

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

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

DEXA bone scan criteria for the Federal Employee Program

June 2021 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jun 1, 2021

Anthem Blue Cross and Blue Shield working with Optum to collect medical records for risk adjustment

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

MCG care guidelines 25th edition

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

Medical drug benefit clinical criteria updates

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

Medical policies and clinical utilization management guidelines update

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

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

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

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Anthem Blue Cross and Blue Shield working with Optum to collect medical records for Medicare risk adjustment

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Helping our senior members

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Apr 1, 2021

In-Office Assessment program

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

Oncology Dose Reduction Program beginning July 1, 2021

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

Clinical Criteria Updates Notification November 2020

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

Clinical Criteria Updates Notification December 2020

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

Does your practice offer telehealth services? Let us know!

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

Keep up with Medicare news

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

Access to more claim denial information is now self-service

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

New provider directory indicator for telehealth services

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

2021 FEP® Benefit information available online

January 2021 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

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

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

Keep up with Medicare news

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

Digital transactions cut administrative tasks in half

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

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

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

2021 Medicare Advantage individual benefits and formularies

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

Preferred continuous glucose monitors

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

Provider Chat -- A fast, easy way to get your questions answered

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

Medical drug benefit Clinical Criteria updates -- June 2020

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

FDA approvals and expedited pathways used -- new molecular entities

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

Keep up with Medicare news

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

Federal Employee Program® Expands Specialty Pharmacy Prior Authorization List (MAC)

Material Adverse Change (MAC)
October 2020 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Oct 1, 2020

Medical drug benefit Clinical Criteria updates (June 2020)

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

Patient360 enhancement for medical providers

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

Provider transparency update

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

Prior authorization requirements for the below codes

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

Update: Notice of changes to the AIM musculoskeletal program

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

Social determinants of health support expanding with GroundGame Health

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates (May 2020)

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

New MCG Care Guidelines 24th edition

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

AIM Musculoskeletal program expansion

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

Keep up with Medicare news

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

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Jul 1, 2020

2020 Special Needs Plans

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

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

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

Medical drug benefit Clinical Criteria updates

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

Provider claim questions/issue resolution process flow for Colorado -- Medicare members

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

Keep up with Medicare news

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

Modifier use reminders

June 2020 Anthem Provider News and Important Updates -- Colorado Medicare Jun 1, 2020

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News and Important Updates -- Colorado Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News and Important Updates -- Colorado Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News and Important Updates -- Colorado Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News and Important Updates -- Colorado Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Provider News and Important Updates -- Colorado Medicare Jun 1, 2020

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News and Important Updates -- Colorado Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News and Important Updates -- Colorado Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Provider News and Important Updates -- Colorado Medicare May 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Apr 1, 2020

COVID-19 Virus Talking Points - Medicare

April 2020 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates for November 2019

April 2020 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates for December 2019

April 2020 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2020

Keep up with Medicare news

April 2020 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2020

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Medicare Advantage Provider News Archives.
COVID-19 Information - Colorado Medicare Mar 25, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News and Important Updates -- Colorado Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News and Important Updates -- Colorado Medicare Mar 1, 2020
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