California
Provider Communications

June 2020 Anthem Blue Cross Provider News - California

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Title Category

2020 Medicare risk adjustment provider trainings

Medicare

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
Administrative

Acquisition of Beacon Health Options

Medi-Cal Managed Care

Anthem Blue Cross (Anthem) working with Optum to collect medical records for risk adjustment

Medicare

Anthem Blue Cross (Anthem) working with Optum to collect medical records for risk adjustment

Cal MediConnect

Anthem Blue Cross enhances process for submitting behavioral health authorizations now available

Behavioral Health

Anthem Blue Cross introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!

Behavioral Health

Anthem Blue Cross’ member rights and responsibilities

Behavioral Health

Availity portal notification center

Administrative

Behavioral health timely access regulations and language assistance program

Behavioral Health

BlueCard® Program quick tips

Behavioral Health

Clinical practice and preventive health guidelines available on the web

Behavioral Health

Coding spotlight: Provider’s guide to code social determinants of health

Medi-Cal Managed Care

Commercial behavioral health provider data updates

Behavioral Health

Commercial Risk Adjustment program update: Retrospective program begins; prospective program continues

Administrative

Complex case management program

Medi-Cal Managed Care

Contracted provider claim escalation process

Administrative

Contracted provider dispute resolution

Behavioral Health

CVS Specialty, Anthem’s designated specialty pharmacy

Pharmacy

CVS Specialty: Our designated specialty pharmacy

Medi-Cal Managed Care

Diabetes HbA1c < 8 HEDIS guidance

Medicare

Easily update provider demographics with the online Provider Maintenance Form

Administrative

Follow-up after hospitalization for Mental Illness

Behavioral Health

Follow-up after hospitalization for mental illness

Medi-Cal Managed Care

Forms make practice changes easy

Behavioral Health

Important information about utilization management

Medi-Cal Managed Care

MCG care guidelines: 24th Edition

Cal MediConnect

MCG care guidelines: 24 Edition

Medi-Cal Managed Care

Medical policies and clinical utilization management guidelines update

Medi-Cal Managed Care

Member grievance process and forms must be made available upon request at behavioral health provider offices

Behavioral Health

Members’ Rights and Responsibilities Statement

Medi-Cal Managed Care

Misrouted protected health information

Behavioral Health

Modifier use reminders

Medicare

Modifier use reminders

Cal MediConnect

Modifier use reminders

Medi-Cal Managed Care

Network leasing arrangements

Administrative

Network leasing arrangements are online

Behavioral Health

Network relations teams aren’t the same, where to go with questions

Behavioral Health

New digital provider enrollment application for behavioral health

Behavioral Health

Overlapping service areas

Behavioral Health

Pharmacy information available on anthem.com/ca

Pharmacy

Pharmacy information available online

Behavioral Health

Practice status: Open or closed

Behavioral Health

Provider Education seminars, webinars, workshops and more!

Administrative

Quality Corner: CPT® Category II Codes: Collaborating for enhanced patient care

Administrative

Release of medical records

Behavioral Health

Resources supporting our providers during COVID-19

Medi-Cal Managed Care

Sign-up now for our Provider News today at no charge!

Administrative

Stay “in the know” at no charge!

Behavioral Health

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Sleep Disorder Management clinical appropriateness guideline

Cal MediConnect

Where and how to submit BlueCard® claims

Behavioral Health
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