California
Provider Communications

Articles Category: State & Federal

Title	Publication	Category	Date
Mailing address for Federal Employee Program: Paper claims and claims related correspondence	August 2018 Anthem Blue Cross Provider Newsletter - California	Federal Employee Plan (FEP)	Aug 16, 2018
Prior authorization requirements for Cabazitaxel (Jevtana	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Prior authorization requirement for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Anthem Blue Cross adopts 22nd edition of the MCG care guidelines	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Regulatory updates	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Important information about utilization management	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Member rights and responsibilities statement	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Coding spotlight: Obesity	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Electronic data interchange migration to Availity	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Reimbursement policy update; Medical recalls, policy 06-111 – effective November 1, 2018	August 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Aug 16, 2018
Prior authorization requirements for Azedra (iobenguane l 131) and Poteligeo (mogamulizumab)	August 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Aug 16, 2018
Electronic data interchange migration to Availity	August 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Aug 16, 2018
Reimbursement policy update; Medical recalls, policy 06-111 – effective November 1, 2018	August 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Aug 16, 2018
MA members receive incentives for completing screenings	August 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Aug 16, 2018
DME providers and physicians: important wheelchair prior authorization information	August 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Aug 16, 2018
Submit PA medication requests electronically; new phone number for MA prescription PAs	August 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Aug 16, 2018
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019	August 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Aug 16, 2018
Keep up with Medicare news	August 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Aug 16, 2018
Genetic testing prior authorization by ordering physician helps ensure accurate lab payment	October 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Oct 1, 2018
Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM	October 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Oct 1, 2018
Please evaluate statin use for MA members with diabetes, cardiovascular disease	October 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Oct 1, 2018
Medicare pharmacy and prescriber home starts January 2019	October 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Oct 1, 2018
CalPERS Medicare Advantage plan members to receive new ID cards	October 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Oct 1, 2018
Keep up with Medicare news	October 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Oct 1, 2018
Medical Policies and Clinical Utilization Management Guidelines update	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Vaginal birth after cesarean shared decision-making aid available	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Streamline workflow with solicited medical attachments	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Anthem Blue Cross opiod addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Prior authorization requirements for Interferon beta-1a	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Prior authorization requirements for Somatrem	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Regulatory updates	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
EDI Gateway migration	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Cervical length measurement by transvaginal ultrasound	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
New pharmacy prior authorization fax number and new Provider Services phone number	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
New pharmacy electronic prior authorization request tool effective November 4, 2018	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Prior authorization requirements for Part B drugs: Retacrit (epoetin alfa-epbx), Damoctocog and llumya (tildrakizumab)	October 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Oct 1, 2018
Inpatient readmissions reimbursement policy update	October 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Oct 1, 2018
Short and long acting narcotics regulatory changes and limits to days’ supplies	October 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Oct 1, 2018
Prior authorization requirments for Part B drugs: Moxetumomab Pasudotox, Cemiplimab and Fulphila (pegfilgrastim-jmbd)	October 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Oct 1, 2018
Coordination of benefits for an Federal Employee Plan member	December 2018 Anthem Blue Cross Provider Newsletter - California	Federal Employee Plan (FEP)	Dec 1, 2018
Benefit change for Infliximab for Federal Employee Program	December 2018 Anthem Blue Cross Provider Newsletter - California	Federal Employee Plan (FEP)	Dec 1, 2018
2019 FEP Benefit information available online	December 2018 Anthem Blue Cross Provider Newsletter - California	Federal Employee Plan (FEP)	Dec 1, 2018
New Medicare Advantage provider service phone number beginning January 1, 2019	December 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Dec 1, 2018
2019 Medicare Advantage individual benefits and formularies	December 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Dec 1, 2018
CMS Medicare Preclusion list effective April 1, 2019	December 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Dec 1, 2018
When and how to initiate Medicare Advantage reopenings	December 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Dec 1, 2018
Individual Medicare plans move compound drugs off formulary beginning January 1, 2019	December 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Dec 1, 2018
Medicare Part B drugs may include Step Therapy beginning January 1, 2019	December 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Dec 1, 2018
Los Angeles Unified School District offers Medicare Advantage option	December 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Dec 1, 2018
Keep up with Medicare news	December 2018 Anthem Blue Cross Provider Newsletter - California	Medicare	Dec 1, 2018
Quarterly pharmacy formulary change	December 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Dec 1, 2018
Claims requiring additional documentation	December 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Dec 1, 2018
Coding spotlight: Substance use disorders and smoking	December 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Dec 1, 2018
Prior authorization requirements for subcutaneous implantable defibrillator system	December 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Dec 1, 2018
Need up to date pharmacy information?	December 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Dec 1, 2018
Practitioners’ rights during credentialing process	December 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Dec 1, 2018
Updated prior authorization form for providers	December 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Dec 1, 2018
Electronic data interchange gateway update	December 2018 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Dec 1, 2018
Claims requiring additional documentation	December 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Dec 1, 2018
Short and long acting narcotics regulatory changes and limits to days’ supplies	December 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Dec 1, 2018
Prior authorization requirements for Part B drug Nivestym	December 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Dec 1, 2018
Electronic data interchange gateway update	December 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Dec 1, 2018
MediConnect Plan network update	December 2018 Anthem Blue Cross Provider Newsletter - California	Cal MediConnect	Dec 1, 2018
Anthem offers risk adjustment and documentation training	January 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Jan 1, 2019
Medicare Advantage member Explanation of Benefits redesigned	January 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Jan 1, 2019
Keep up with Medicare news	January 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Jan 1, 2019
Preferred Community Health Partners care management integration	January 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Jan 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update	January 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Jan 1, 2019
My Diverse Patients: A website to support your diverse patients	January 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Jan 1, 2019
Anthem Blue Cross now offering telehealth to Medicaid members	January 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Jan 1, 2019
Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option	January 18, 2019: Anthem Blue Cross eUPDATE - California	Medicare	Jan 17, 2019
HEDIS 2019 Federal Employee Program medical record request requirements	February 2019 Anthem Blue Cross Provider Newsletter - California	Federal Employee Plan (FEP)	Feb 1, 2019
Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Reminder: Anthem follows original Medicare policies	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Use grouped CPT codes for AIM Specialty Health authorizations	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Anthem eye refraction and routine eye exam billing information	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
New specialty Medicare Part B device preferred product program	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Keep up with Medicare news	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Coding spotlight: Diabetes	February 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Feb 1, 2019
New specialty pharmacy medical step therapy requirements	February 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Feb 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	February 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Feb 1, 2019
Dual Eligible Special Needs Plans – provider training required	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Change to 835 ERA for all D-SNP MA members for 2019	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Keep up with Medicare news	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Policy update: Maternity services	March 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Mar 1, 2019
Update: evaluation and management with Modifier 25	March 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Mar 1, 2019
Coding Spotlight: Cancer A provider’s guide to properly code cancers	March 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Mar 1, 2019
Alcohol misuse screening and counseling in primary care	March 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Mar 1, 2019
Requirements for using the Staying Healthy Assessment tool in an electronic format	March 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Mar 1, 2019
Access patient-specific drug benefit information through electronic medical records	March 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Mar 1, 2019
Neonatal intensive care unit post-traumatic stress disorder program	March 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Mar 1, 2019
Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Electronic claim payment reconsideration	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Keep up with Medicare news	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Reimbursement policy update, Modifier 22: Increased procedural service	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019

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