California
Provider Communications

Articles

Title Publication Category Date

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

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

Commercial behavioral health provider data updates

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

Practice status: Open or closed

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

Forms make practice changes easy

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

Network leasing arrangements are online

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

Stay “in the know” at no charge!

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

Misrouted protected health information

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

Behavioral health timely access regulations and language assistance program

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

Clinical practice and preventive health guidelines available on the web

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

Anthem Blue Cross’ member rights and responsibilities

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

Release of medical records

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

Pharmacy information available online

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

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

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

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

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

New digital provider enrollment application for behavioral health

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

Overlapping service areas

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

Where and how to submit BlueCard® claims

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

BlueCard® Program quick tips

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

CVS Specialty, Anthem’s designated specialty pharmacy

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

Pharmacy information available on anthem.com/ca

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

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Jun 1, 2020

Medical policies and clinical utilization management guidelines update

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

Modifier use reminders

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

Acquisition of Beacon Health Options

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

MCG care guidelines: 24 Edition

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

Follow-up after hospitalization for mental illness

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

Complex case management program

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

Important information about utilization management

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

Members’ Rights and Responsibilities Statement

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

CVS Specialty: Our designated specialty pharmacy

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

Resources supporting our providers during COVID-19

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

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

2020 Medicare risk adjustment provider trainings

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

Diabetes HbA1c < 8 HEDIS guidance

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

Modifier use reminders

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

MCG care guidelines: 24th Edition

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

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

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

Modifier use reminders

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

Updates to AIM Sleep Disorder Management clinical appropriateness guideline

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

Anthem Blue Cross Waives Cost Share for COVID-19 Treatment (updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information Administrative May 29, 2020

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

Beginning June 1, 2020, Anthem Blue Cross (Anthem) is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
COVID-19 Information Administrative May 26, 2020

Now available Anthem Blue Cross’ new Digital Enrollment application for Behavioral Health

May 2020 Anthem Blue Cross Provider News - California Behavioral Health May 1, 2020

Information from Anthem for Care Providers about COVID-19

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

Anthem Worker’s Compensation offering telehealth

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

Where to mail Anthem Blue Cross Stop Loss claims

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

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

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

Diabetes HbA1c testing is essential - coding the CPT II codes correctly can improve HEDIS results

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

Commercial Risk Adjustment prospective program update: Assessing your patients for risk adjustable conditions

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

Anthem Blue Cross provider directory and provider data updates

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

Easily update provider demographics with the online Provider Maintenance Form

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

Network leasing arrangements

May 2020 Anthem Blue Cross Provider News - California Administrative May 1, 2020

Reminder about System Update

May 2020 Anthem Blue Cross Provider News - California Reimbursement Policies May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Approrpriateness Guidelines

May 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines May 1, 2020

Reimbursement policy update: unlisted, unspecified or miscellaneous codes

Policy 06-004, effective 08/01/20
May 2020 Anthem Blue Cross Provider News - California Medicare May 1, 2020

New behavioral health Medicare Advantage individual and group retiree solutions provider fax

May 2020 Anthem Blue Cross Provider News - California Medicare May 1, 2020

Prior authorization requirements

May 2020 Anthem Blue Cross Provider News - California Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Blue Cross Provider News - California Medicare May 1, 2020

Reimbursement policy update: Unlisted, unspecified or miscellaneous codes

Policy 06-004, effective 08/01/20
May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Health education and cultural & linguistics update

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

Tobacco cessation requirements update

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

Electronic stay healthy assessment tool update

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

Diabetes prevention program

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

Reimbursement policy update: Unlisted, unspecified or miscellaneous codes

Policy 06-004, effective 08/01/20
May 2020 Anthem Blue Cross Provider News - California Cal MediConnect May 1, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information Administrative May 1, 2020

COVID-19 Update: Guidance for telehealth (audio + video) and telephonic-only care for Behavioral Health services (Updated April 17, 2020)

We’ve updated FAQs with additional details about how behavioral health providers can utilize and be compensated for telehealth (audio + video) and telephonic-only care with their patients.
COVID-19 Information Administrative Apr 17, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Anthem Blue Cross has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information Administrative Apr 15, 2020

Anthem Blue Cross to delay most April 1, 2020, formulary list updates for commercial health plan pharmacy benefit

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

Pharmacy information available on anthem.com/ca

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

Delay of Applied Behavior Analysis rates change

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

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.
April 2020 Anthem Blue Cross Provider News - California Administrative Apr 1, 2020

Anthem acquires Beacon Health Options

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

Provider transparency update

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

Anthem Blue Cross cost transparency

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

Join today! Subscribe to the Anthem Marketplace for Workers’ Compensation

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

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

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

Patient360 Enhancement for medical providers

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

Anthem Blue Cross continues focus on updates to our public provider website

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

Provider Education seminars, webinars, workshops and more!

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

Anthem Blue Cross provider directory and provider data updates

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

Easily update provider demographics with the online Provider Maintenance Form

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

Contracted provider claim escalation process

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

Stay “in the know” at no charge!

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

Network leasing arrangements

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

HEDIS 2020 Federal Employee Program medical record request requirements

April 2020 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Apr 1, 2020

New MA Opioid Treatment Program benefit

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Prior authorization requirements: new 2020 codes for coverage and precertification

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

2020 Medicare risk adjustment provider trainings

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

Medical drug benefit Clinical Criteria updates for November 2019

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

Medical drug benefit Clinical Criteria updates for December 2019

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

COVID-19 Virus Talking Points

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

Coding tip for psychological and neuropsychological testing

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

Medical drug benefit Clinical Criteria updates for November 2019

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

Medical drug benefit Clinical Criteria updates for December 2019

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

Medical Policies and Clinical Utilization Management Guidelines update

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

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

Multiple and bilateral surgery, professional and facility reimbursement policy update

Policy 06-010, effective 05/01/20, revised 03/01/20

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

Use of imaging studies for Low back Pain (LBP)

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

New specialty pharmacy medical injectable step therapy requirements

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