California
Provider Communications

July 2021 Anthem Blue Cross Provider News - California

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Title Category

Another mark of the pandemic: An increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors
Administrative

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

Medi-Cal Managed Care

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

Medicare

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

Cal MediConnect

BlueCard® program quick tips

Behavioral Health

Certain specialty medication precertification requests may require additional documentation

Pharmacy

Certain specialty medication precertification requests may require additional documentation

Medi-Cal Managed Care

Clinical quality in practice: CME webinar series

Administrative

Coding spotlight: Mental disorders in childhood

Medi-Cal Managed Care

Electronic claim response files

Digital Tools

February 2021 medical policies and utilization management guidelines update

Medi-Cal Managed Care

How to enroll in electronic fund transfer for faster remittance

Digital Tools

Infusion step therapy retraction notice

Medi-Cal Managed Care

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

Digital Tools

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
Medi-Cal Managed Care

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

Medicare

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
Cal MediConnect

March 2021 medical drug benefit clinical criteria updates

Medi-Cal Managed Care

March 2021 Medical drug benefit clinical criteria updates

Medicare

March 2021 Medical drug benefit clinical criteria updates

Cal MediConnect

Medical practices – are you keeping something from us

Administrative

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Medi-Cal Managed Care

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Medicare

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Cal MediConnect

Overlapping service areas

Behavioral Health

Practice status: open or closed

Behavioral Health

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837

Medi-Cal Managed Care

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327

Medi-Cal Managed Care

Proper coding for in-home monitoring can make a measurable difference for INR

Administrative

Resources to support your diverse patient panel

Medi-Cal Managed Care

Specialty pharmacy prior authorization retraction notice

Medi-Cal Managed Care

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

Administrative

What matters most: Improving the patient experience

Medi-Cal Managed Care

Where and how to submit BlueCard claims

Behavioral Health
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