Colorado
Provider Communications

Articles Month: April 2021

Title Publication Category Date

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

Change Notification to Provider and Facility Manual effective July 1, 2021 (MAC)

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

Maximizing efficient, high quality COVID-19 screenings

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

Does your practice offer telehealth services? Let us know!

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

Working with Anthem Webinars -- April 2021 schedule: Enhanced claim question/issue resolution process

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

Payer Spaces: name change announcement

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

Understanding Availity Roles for Electronic Data Interchange (EDI)

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

Make the change to digital authorization/referral and hospital admission notifications using EDI

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

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

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

Chat directly with a Prior Authorization Specialist

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

UPDATE: For Commercial Providers regarding the AIM Sleep Therapy Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

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

Join Anthem in talking about racism and its impact on health

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

Drug fee schedule update

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

MCG Care Guidelines 25th Edition (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Apr 1, 2021

Clinic Charges (Facility Reimbursement Policy) -- New (MAC)

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

Newborn Inpatient Stays (Facility Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Apr 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
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