California
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

2019 Enhanced Personal Health Care program releases myFHR

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Blue Cross Provider News - California Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Blue Cross Provider News - California Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

February 2020 Anthem Blue Cross Provider News - California Medicare Feb 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

2020 special needs plans

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Blue Cross Provider News - California Medicare Dec 1, 2020

2022 Medicare Advantage services area and benefit updates

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Blue Cross Provider News - California Medicare Mar 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

AIM Musculoskeletal program expansion

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

AIM Musculoskeletal program expansion update

November 2020 Anthem Blue Cross Provider News - California Medicare Nov 1, 2020

AIM Specialty Health programs may require documentation

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

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

June 2020 Anthem Blue Cross Provider News - California Medicare Jun 1, 2020

Anthem Blue Cross expanded HMO network guidance

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

Anthem Blue Cross Medicare Advantage FFS HMO network guidance

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Anthem Blue Cross offering Advance Medical Directives program for 2022

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Anthem Blue Cross working with Optum to collect medical records for Medicare Risk Adjustment

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

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

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Blue Cross Provider Newsletter - California Medicare Feb 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Blue Cross Provider Newsletter - California Medicare Jan 1, 2019

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

Aspire Health for Medicare members in need of palliative care

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Assisting your patients in managing the Donut Hole

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

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 Medicare Jul 1, 2021

Authorizations for post-acute care services for PPO Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Blue Cross Provider News - California Medicare Jun 1, 2022

Benefits update for Special Supplemental Benefits for the chronically ill

March 2020 Anthem Blue Cross Provider News - California Medicare Mar 1, 2020

Bill Medicare Part D for shingles or tetanus vaccination claims

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

March 2020 Anthem Blue Cross Provider News - California Medicare Mar 1, 2020

California 2020 Medicare Advantage plan changes

January 2020 Anthem Blue Cross Provider News - California Medicare Jan 1, 2020

California’s Valued Trust offers a Medicare Advantage option

March 2020 Anthem Blue Cross Provider News - California Medicare Mar 1, 2020

CalPERS Medicare Advantage plan members to receive new ID cards

October 2018 Anthem Blue Cross Provider Newsletter - California Medicare Oct 1, 2018

Cancer Care Navigator

July 2022 Anthem Blue Cross Provider News - California Medicare Jul 1, 2022

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

City of Marietta offers Medicare Advantage option

January 2020 Anthem Blue Cross Provider News - California Medicare Jan 1, 2020

City of San Jose, California moves to Medicare Advantage plan under Anthem Blue Cross

January 2020 Anthem Blue Cross Provider News - California Medicare Jan 1, 2020

Clinical criteria updates

September 2019 Anthem Blue Cross Provider News - California Medicare Sep 1, 2019

Clinical criteria updates

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Clinical criteria updates

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Clinical criteria updates

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

Clinical Criteria updates notification December 2020

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Clinical Criteria updates notification November 2020

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Clinical laboratory improvement amendments for Anthem Blue Cross

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

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

CMS Medicare Preclusion list effective April 1, 2019

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Coming soon, electronic attachments

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Coming soon, electronic attachments

September 2019 Anthem Blue Cross Provider News - California Medicare Sep 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

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

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

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Blue Cross Provider News - California Medicare Sep 1, 2019

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Blue Cross Provider News - California Medicare Jun 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Blue Cross Provider News - California Medicare Nov 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Blue Cross Provider News - California Medicare Dec 1, 2020

DME checklist of information needed from providers

March 2021 Anthem Blue Cross Provider News - California Medicare Mar 1, 2021

DME providers and physicians: important wheelchair prior authorization information

August 2018 Anthem Blue Cross Provider Newsletter - California Medicare Aug 16, 2018

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Drug screen testing (Policy 19-001, effective 10/01/19)

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Dual Eligible Special Needs Plans – provider training required

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

Electric Boat offers Medicare Advantage options

February 2020 Anthem Blue Cross Provider News - California Medicare Feb 1, 2020

Electronic claim payment reconsideration

April 2019 Anthem Blue Cross Provider Newsletter - California Medicare Apr 1, 2019

Electronic data interchange process

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

Emergency department: Level of Evaluation and Management Services

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Evaluation and management services correct coding

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

Fall prevention tips

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

FDA approvals and expedited pathways used – new molecular entities

November 2020 Anthem Blue Cross Provider News - California Medicare Nov 1, 2020

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Blue Cross Provider Newsletter - California Medicare Oct 1, 2018

Get faster payments with EFT

February 2022 Anthem Blue Cross Provider News - California Medicare Feb 1, 2022

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

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

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

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Group Retiree PPO program announcement

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Healthcare Quality Patient Assessment form and Patient Assessment form

January 2020 Anthem Blue Cross Provider News - California Medicare Jan 1, 2020

HEDIS 2022: Summary of changes from NCQA

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

HEDIS® medical record submission made easier with our remote EMR access service

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

Help protect your patients by providing medical ID protection – best practices

January 2020 Anthem Blue Cross Provider News - California Medicare Jan 1, 2020

Helping our members

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Home health billing guidelines for contracted providers

July 2019 Anthem Blue Cross Provider News - California Medicare Jul 1, 2019

IBEW Local 234, CA moves to Medicare Advantage plan under Anthem Blue Cross

February 2021 Anthem Blue Cross Provider News - California Medicare Feb 1, 2021

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

In-office assessment

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

In-office assessment program

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

Infliximab Step Therapy – effective July 15, 2021

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

Information about 2021 special needs plans

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

Inland Empire International Brotherhood of Electrical Workers – National Electrical Contractors Association health plan in California moves to a Medicare Advantage plan from Anthem Blue Cross

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Intel Corporation in California moves to Medicare Advantage plan from Anthem Blue Cross

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

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

Introducing two new Medicare Advantage special needs plans for 2020

February 2020 Anthem Blue Cross Provider News - California Medicare Feb 1, 2020

Introducing two new Medicare Advantage special needs plans for 2020

January 2020 Anthem Blue Cross Provider News - California Medicare Jan 1, 2020
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