California
Provider Communications

November 2020 Anthem Blue Cross Provider News - California

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Title Category

AIM Musculoskeletal program expansion update

Medicare

Anthem Blue Cross Chat

A fast, easy way to have your questions answered.

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Availity attachment tools for Anthem Blue Cross and Affiliate Payers – live webinars

Administrative

Changes to utilization requirements for Avsola, Renflexis and Inflectra for CalPERS PPO members only!

Pharmacy

Clinical Laboratory Improvement Amendments (CLIA) number: Additional information

Administrative

Coding spotlight: Tips and best practices for compliance

Medi-Cal Managed Care

Digital transactions cut administrative tasks in half

Introducing the Anthem Blue Cross Provider Digital Engagement Supplement to the provider manual.
Administrative

Digital transactions cut administrative tasks in half

Medi-Cal Managed Care

Digital transactions cut administrative tasks in half

Medicare

Digital transactions cut administrative tasks in half

Cal MediConnect

Easily update provider demographics with the online Provider Maintenance Form

Administrative

FDA approvals and expedited pathways used – new molecular entities

Medicare

Get the full picture of your patient’s health through their smartphone

Products & Programs

Help prevent pre-eclampsia with prenatal aspirin

Medi-Cal Managed Care

IngenioRx introduces new pharmacy network in 2021

Pharmacy

Medical drug benefit Clinical Criteria updates

Medi-Cal Managed Care

Medical drug benefit Clinical Criteria updates

Cal MediConnect

Member grievance process and forms must be made available upon request at provider office

Administrative

Network leasing arrangements

Administrative

New specialty pharmacy medical step therapy requirements

Medi-Cal Managed Care

New specialty pharmacy medical step therapy requirements

Medi-Cal Managed Care

November 26 is National Family Health History Day

Medi-Cal Managed Care

Preferred continuous glucose monitors

Medicare

Prior authorization requirements for the below codes

Medicare

Provider Chat – a fast, easy way to get your questions answered

Medi-Cal Managed Care

Provider Chat: A fast, easy way to get your questions answered

Medicare

Provider training webinars for site of care: Hospital based ambulatory surgical procedures and Endoscopic services (CG-SURG-52) beginning in November 2020

Administrative

Reimbursement Policy update: Nurse practitioner and physician assistant services, professional

Policy 20-002, effective 04/24/20

Medi-Cal Managed Care

Reimbursement Policy update: Nurse practitioner and physician assistant services, professional

Reimbursement Policy (effective 04/24/20)

Cal MediConnect

Reminder: Post service reviews using AIM

Products & Programs

Stay “in the know” at no charge!

Administrative

Transition to AIM rehabilitative service clinical appropriateness guidelines

Medicare

US Antibiotic Awareness Week

Pharmacy
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