California
Provider Communications

Articles Category: State & Federal / Medi-Cal Managed Care

Title Publication Category Date

2019 Utilization management affirmative statement concerning utilization management decisions

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

2020 Anthem Blue Cross population needs assessment

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

2020 Prenatal ultrasound diagnosis code update

January 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2020

2021 CAHPS Survey results

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2022

4 things you can do to encourage cancer screenings for your women patients

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

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

Access to care standards

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Access to care standards

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Access to care standards

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2021

Acquisition of Beacon Health Options

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Alcohol misuse screening and counseling in primary care

March 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Mar 1, 2019

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

Anthem Blue Cross now offering telehealth to Medicaid members

January 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jan 1, 2019

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

Anti-VEGF Medical Step Therapy notice

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Antibiotic dispensing guidelines

March 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2020

Appointment access standards

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

April – Defeat diabetes month

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Aspire Health for members in need of palliative care

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

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

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

August 2020 Medical Policies and Utilization Management Guidelines update

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

New additional benefit detail.

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

Billing instructions of A and B codes for medical supplies

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

Botox® update for Anthem Blue Cross members

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2022

Bright Heart Health medication-assisted treatment program

March 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2020

CAHPS education for providers

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

CAHPS® survey

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

California Smokers’ Helpline launches dedicated quit Vaping line!

January 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2020

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Chlamydia screening

August 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2022

Claims editing update for ICD-10-CM Excludes 1 notes

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Claims requiring additional documentation

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Clinical criteria updates

May 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care May 1, 2019

Clinical criteria updates

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Clinical Criteria updates

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Clinical criteria updates

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Clinical criteria updates

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

Clinical criteria updates notification December 2020

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Clinical criteria updates notification November 2020

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Clinical laboratory improvement amendments number – additional information

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Clinical utilization management guidelines update

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Coding spotlight – provider’s guide to coding respiratory diseases

January 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2020

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

Coding spotlight: Diabetes

February 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Feb 1, 2019

Coding spotlight: HEDIS MY 2021

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

Coding spotlight: HIV and AIDS

March 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2020

Coding spotlight: Hypertension

July 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2019

Coding spotlight: Mental disorders in childhood

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Coding spotlight: Obesity

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2021

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Coding spotlight: Providers guide to coding for behavioral health disorders

October 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2020

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

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

Coding spotlight: Substance use disorders and smoking

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Coding spotlight: Tips and best practices for compliance

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Coding spotlight: Tips and best practices for compliance

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Coding tip for psychological and neuropsychological testing

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Coming soon: electronic attachments

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Complex case management program

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

Complex case management program

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Complex case management program

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Continuing medical education / continuing education unit opportunities

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

COVID-19 Virus Talking Points

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

CVS Specialty: Our designated specialty pharmacy

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Diabetes prevention program

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Diabetes prevention program

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Diabetes prevention program

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Diabetes testing and screening HEDIS measures

October 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2021

Digital transactions cut administrative tasks in half

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Discharges against medical advice

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Disease Management can help you care for patients with chronic health care needs

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Disease Management/Population health program

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

Disease management/population health program

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

EDI Gateway migration

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Educational presentations and materials for physicians and medical providers

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Electronic claim payment reconsideration

May 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care May 1, 2019

Electronic data interchange gateway update

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Electronic data interchange migration to Availity

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Electronic data interchange process

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Electronic stay healthy assessment tool update

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2019

Expedited grievances

May 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2022

FDA warns about dental problems with buprenorphine medicines

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

February 2021 medical policies and utilization management guidelines update

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Follow-up after hospitalization for mental illness

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Get faster payments with EFT

February 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2022

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2021

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Health education and cultural & linguistics update

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Health education classes

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Health education classes and Language assistance programs

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

HEDIS 2022: Summary of changes from NCQA

August 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2022
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