Colorado
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

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

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

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

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

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

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

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

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

Nonpreferred products and corresponding preferred alternatives

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

Keep up with Medicare news

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

Reimbursement Policy Update Modifier 62: Co-Surgeons

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

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

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

Keep up with Medicare news

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

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

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

Help protect your patients by providing medical ID protection -- best practices

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

Medical drug benefit Clinical Criteria updates – October 2019

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

Medical drug benefit Clinical Criteria updates – November 2019

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

Introducing two new Medicare Advantage special needs plans for 2020

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

Postponed -- Review of professional claims with emergency room level 5 E/M codes

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

Keep up with Medicare news

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

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2019
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