California
Provider Communications

July 2020 Anthem Blue Cross Provider News - California

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Title Category

2020 affirmative statement concerning utilization management decisions

Medi-Cal Managed Care

2020 affirmative statement concerning utilization management decisions

Medicare

2020 special needs plans

Medicare

Access to care standards

Medi-Cal Managed Care

Anthem Blue Cross expanded HMO network guidance

Medicare

Anthem Blue Cross provider directory and provider data updates

Administrative

Claims status listing and remittance inquiry updates for Atypical providers

Administrative

Coding spotlight: Provider guide to coding for cardiovascular conditions

Medi-Cal Managed Care

Commercial Risk Adjustment reporting update: 2020 program year progression; what’s in it for you and your patients?

Administrative

Easily update provider demographics with the online Provider Maintenance Form

Administrative

Medical drug benefit Clinical Criteria updates

Medi-Cal Managed Care

Medical drug benefit clinical criteria updates

Medicare

Medical drug benefit clinical criteria updates

Cal MediConnect

Medical policies and clinical utilization management guidelines update

Medi-Cal Managed Care

Medical policies and clinical utilization management guidelines update

Medicare

Medical policies and clinical utilization management guidelines update

Cal MediConnect

Modifier use reminders

Medi-Cal Managed Care

Modifier use reminders

Medicare

Modifier use reminders

Cal MediConnect

Network leasing arrangements

Administrative

New MCG 24th Edition Guidelines

Medical Policy & Clinical Guidelines

Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Adventist Health Tulare

Medi-Cal Managed Care

Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Palmdale Regional

Medi-Cal Managed Care

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

Medicare

Prior authorization requirements for angiographic evaluation of stenotic or thrombosed

Medi-Cal Managed Care

Timely access regulations and language assistance program

Administrative

Transition to AIM rehabilitative services clinical appropriateness guidelines

Medicare

Updated Coverage for HIV PrEP medications

Administrative

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Medicare

Welcome to the Customer Learning Center in Availity

Administrative
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