Colorado
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Colorado Medicare Jun 1, 2019

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

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

Updates to the AIM advanced imaging clinical appropriateness guidelines

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

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Colorado Medicare Dec 30, 2022

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

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

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

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

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

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

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

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

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

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

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Medicare Advantage Provider News Archives.
COVID-19 Information – Colorado – Publication RETIRED as of November 8, 2022 Medicare Mar 25, 2020

Update: Notice of changes to the AIM musculoskeletal program

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

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

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

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

The impact of listening

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

The Anthem, Inc. name is changing

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

Submit Prior Authorizations medication requests electronically; new phone and fax numbers for MA prescription PAs effective September 1

August 2018 Anthem Provider Newsletter - CO Medicare Aug 17, 2018

Special needs plans -- provider training required

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

Somatus is your resource for kidney care management

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

Social determinants of health support expanding with GroundGame Health

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

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Colorado Medicare Jun 1, 2019

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

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

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

Reminder: AIM prior authorization phone number change for Medicare

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

Reminder - Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

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

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

Reimbursement policy update: Modifiers 25 and 57 Evaluation and Management with Global Procedures

Policy update: G-06003
September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Reimbursement policy update: Inpatient Readmissions

Policy G-13001, effective 07/01/22

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

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

Reimbursement Policy Update Modifier 62: Co-Surgeons

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

Reimbursement policy retraction: Sexually Transmitted Infections Testing - professional

Policy 21-001, effective January 1, 2022
October 2022 Anthem Provider News and Updates - Colorado Medicare Oct 1, 2022

Reimbursement policy reminder: Inpatient readmissions

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

Reducing the burden of medical record review an improving health outcomes with HEDIS ECDS reporting

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

Provider transparency update

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

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News and Important Updates - Colorado Medicare Mar 1, 2022

Provider notice for COVID-19 testing

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

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

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

Professional claims – billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

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

Prior authorization/pre-certification form notification

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

Prior authorization requirements for the below codes

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

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2019

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

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

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

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

Prior authorization requirement changes effective December 1, 2022

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

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

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

Preferred continuous glucose monitors

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

Policy update: Drug screen testing

Policy update Drug Screen Testing, effective March 1, 2022

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

Please evaluate statin use for Medicare Advantage members with diabetes, cardiovascular disease

November 2018 Anthem Provider Newsletter - CO Medicare Nov 1, 2018

Pharmacy updates

March 2022 Anthem Provider News and Important Updates - Colorado Medicare Mar 1, 2022

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Personal home helper benefit ending

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

Patient360 enhancement for medical providers

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

Partial hospitalization services

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2019

Outpatient Rehabilitation Program transition: new prior authorization requirements

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

Oncology Dose Reduction Program beginning July 1, 2021

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

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medicare Dec 30, 2022

Nonpreferred products and corresponding preferred alternatives

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

New York City Medicare Advantage announcement

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

New strategic provider system will launch in April 2022

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

New Strategic Provider System implementation May 2022

May 2022 Anthem Provider News and Update - Colorado Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Provider News and Update - Colorado Medicare May 1, 2022

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

New service types added to Availity

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

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

New provider directory indicator for telehealth services

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

New policy: Sexually transmitted infections testing - professional

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

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

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 medical step therapy requirements

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

New MCG Care Guidelines 24th edition

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

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO Medicare Oct 3, 2018

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

MyDiversePatients.com addresses health care disparities

September 2018 Anthem Provider Newsletter - CO Medicare Aug 31, 2018

Multi-dose packaging

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

Modifier use reminders

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

Modifier 63: Procedure Performed on Infants Less Than 4 kg - Policy 06-015

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Model of Care required training

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

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

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

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

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

Medical records request for risk adjustment

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Medical policies and clinical utilization management guidelines update

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