Colorado
Provider Communications

Articles

Title Publication Category Date

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

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Provider News and Updates - Colorado Federal Employee Plan (FEP) Jun 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

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

Medical drug benefit Clinical Criteria updates

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

Medical policies and clinical utilization Management guidelines update

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

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

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

Provider notice for COVID-19 testing

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

Keep up with Medicare news – June 2022

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

CORRECTION: Working with Anthem Webinars -- May 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem Plans

NEW Registration link as of May 9, 2022, re-registration required.
CORRECTION: Working with Anthem Webinars -- May 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem Plans Administrative May 10, 2022

Anthem Blue Cross and Blue Shield announces changes to post-payment audits conducted on our behalf

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

Coding tips for reporting administration of Spravato®

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

Timely updates help keep our provider directories current

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

Primary care appointment access and open panels

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

Non-participating lab referrals

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

Working with Anthem webinars May 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem plans

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

Resources to support diverse patients and communities

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

May is National High Blood Pressure Education Month: We’ve got this!

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

Alcohol use disorder has a big cost

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

Member benefit lookup by procedure code

May 2022 Anthem Provider News and Update - Colorado Digital Tools May 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

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News and Update - Colorado Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program Live webinar

Everything you need to know about using CPT II Codes.

May 2022 Anthem Provider News and Update - Colorado Federal Employee Plan (FEP) May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

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

New Strategic Provider System implementation May 2022

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

HEDIS 2022: Summary of changes from NCQA

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

HEDIS 2022: Summary of changes from NCQA

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

Keep up with Medicare news – May 2022

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

Working with Anthem Webinars – April 2022 schedule: Provider Enrollment Application (new providers joining an existing group)

Working with Anthem Webinars April 2022 schedule: Provider Enrollment Application (new providers joining an existing group) Administrative Apr 15, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Colorado Administrative Apr 5, 2022

The Anthem, Inc. name is changing

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

COVID-19 Vaccine - Adverse Reactions

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

CAA: Update your provider directory information

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

Catching up on routine vaccines

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

HEDIS® 2022: Summary of changes from NCQA

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

Importance of behavioral healthcare after-hours messaging

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

Working with Anthem Webinars – April 2022 schedule: Provider Enrollment Application (new providers joining an existing group)

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

Medical Policy and Clinical UM Guidelines (MAC)

Material Adverse Change (MAC)
April 2022 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 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

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO Providers

April 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

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

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

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

The impact of listening

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

Clinical criteria updates

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

Model of Care required training

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

Keep up with Medicare news – April 2022

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

Working with Anthem Webinars -- March 2022 schedule: Provider orientation for physical health and behavioral health providers

Working with Anthem Webinars -- March 2022 schedule: Provider orientation for physical health and behavioral health providers Administrative Mar 15, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date.
Read important information about this change.
Transition to NYC Medicare Advantage Plus Delayed Administrative Mar 15, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Register today for the Exploring Implicit Bias in Healthcare for Historically Marginalized Communities forum hosted by Anthem Blue Cross and Blue Shield and Motivo* for Anthem Blue Cross and Blue Shield providers on March 16, 2022.

Exploring Implicit Bias in Healthcare - Colorado Administrative Mar 2, 2022

CAA: Have you reviewed your online provider directory information lately?

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

New! Vaccination resource page for providers

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

Simplifying requests for additional information

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

Working with Anthem Webinars -- March 2022 schedule: Provider orientation for physical health and behavioral health providers

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

Your influence matters: Recommending cancer screenings to your patients

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

Understanding your patients’ differences is lifesaving

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

Enhancements to the Availity Authorization application are now available

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

CLARIFICATION to reimbursement policy update: Virtual Visits – professional and facility (MAC)

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

Updated preventive care guidance regarding screening colonoscopies

March 2022 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Mar 1, 2022

Updates to AIM Specialty Health outpatient rehabilitative and habilitative services (MAC)

Material Adverse Change (MAC)
March 2022 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Mar 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

Change to the Federal Employee Program® Clinical Grievance and Appeal address

March 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Mar 1, 2022

HEDIS® 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

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

Pharmacy updates

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

Clinical criteria updates

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

Provider notification for utilization management authorization rule operations workgroup item 2662

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

Keep up with Medicare news – March 2022

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

Prepare for the CAA: Keep your provider directory information current

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

Heart disease is the number one killer of women

Share information with patients about taking an active role in their heart health.
February 2022 Anthem Provider News and Important Updates - Colorado Administrative Feb 1, 2022

Working with Anthem Webinars – February 2022 schedule: Anthem.com Overview

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

Cancer care navigator

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

It is CAHPS survey time!

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

Anthem will no longer accept medical attachments through VYNE Medical effective May 1, 2022

Material Adverse Change (MAC)
February 2022 Anthem Provider News and Important Updates - Colorado Administrative Feb 1, 2022

Medical Policy and Clinical UM Guidelines

Material Adverse Change (MAC)
February 2022 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Feb 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

Get faster payments with EFT

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

New strategic provider system will launch in April 2022

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

Keep up with Medicare news – February 2022

NYC Medicare Advantage Plus update.
February 2022 Anthem Provider News and Important Updates - Colorado Medicare Feb 1, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.
Important Update for New 200k Group Retiree PPO Plan - CO Administrative Jan 5, 2022

Well-child visits: Know the numbers

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

Working with Anthem webinars – January 2022 schedule: What’s new in 2022

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

Drug fee schedule update

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

2022 Federal Employee Plan® benefit information available online

January 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

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

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

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

Keep up with Medicare news – January 2022

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

Anthem Blue Cross and Blue Shield is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - CO Digital Tools Dec 28, 2021

Non-par lab referrals

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

Update: Anthem Blue Cross and Blue Shield to implement provider claim payment dispute process for Commercial lines of business has been delayed

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

Professional system updates for 2022

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

Outpatient system updates for 2022

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

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

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