California
Provider Communications

Articles

Title Publication Category Date

Diabetes testing and screening HEDIS measures

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

New policy: Sexually transmitted infections testing, effective January 1, 2022 - professional

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

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

Keep up with Medi-Cal news – October 2021

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

Information about 2021 special needs plans

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

New policy: Sexually transmitted infections testing, effective January 2022 - professional

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

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

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

New medical step therapy requirements

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

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

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

Keep up with Medicare news – October 2021

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

New policy: Sexually transmitted infections testing, effective January 2022 - professional

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

New specialty pharmacy medical step therapy requirements

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

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

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

Keep up with Cal MediConnect news October 2021

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

Register today for the Exploring the Impact of Racial Trauma on the Health and Wellbeing of Children forum on September 29, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem Blue Cross professionals about the impact of racial trauma on the health and wellbeing on children and adolescents.
Racial Trauma and Children Administrative Sep 15, 2021

California wildfires: help for our members!

California wildfires: help for our members Administrative Sep 7, 2021

Important update: Help for members impacted by wildfires in California

September 2021 Anthem Blue Cross Provider News - California Administrative Sep 1, 2021

National accounts 2022 pre-certification list

September 2021 Anthem Blue Cross Provider News - California Administrative Sep 1, 2021

Your participation is required: Timely access regulations and language assistance program

September 2021 Anthem Blue Cross Provider News - California Administrative Sep 1, 2021

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach.
September 2021 Anthem Blue Cross Provider News - California Administrative Sep 1, 2021

6 simple strategies to help increase medication adherence

September 2021 Anthem Blue Cross Provider News - California Administrative Sep 1, 2021

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

September 2021 Anthem Blue Cross Provider News - California Administrative Sep 1, 2021

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics.
September 2021 Anthem Blue Cross Provider News - California Administrative Sep 1, 2021

Register now for our September CME webinars!

September 2021 Anthem Blue Cross Provider News - California Administrative Sep 1, 2021

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

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem Blue Cross providers – replacing CAQH Enrollhub effective November 1, 2021.

September 2021 Anthem Blue Cross Provider News - California Digital Tools Sep 1, 2021

Benefit plan updates, effective January 1, 2022

September 2021 Anthem Blue Cross Provider News - California CalPERS Sep 1, 2021

Keep up with Medi-Cal news - September 2021

Prior authorization requirement changes effective October 1, 2021 - UM AROW 1576
Clinical criteria updates notification May 2021
September 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2021

Reimbursement policy update: DRG inpatient facility transfers

September 2021 Anthem Blue Cross Provider News - California Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Anthem Blue Cross Provider News - California Medicare Sep 1, 2021

Prior authorization form notification

September 2021 Anthem Blue Cross Provider News - California Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

Medicare Advantage clinical criteria updates notification May 2021
September 2021 Anthem Blue Cross Provider News - California Medicare Sep 1, 2021

Prior authorization form notification

September 2021 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2021

Keep up with Cal MediConnect news - September 2021

MMP clinical criteria updates notification May 2021
September 2021 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2021

Action required: member grievance and appeals attestation

Anthem Blue Cross’ (Anthem) participating providers are REQUIRED to acknowledge (annually) that member grievance and appeals forms, a description of grievance procedures, and assistance in filing grievances are readily available at each contracted provider location(s).

Member Grievance and Appeals Attestation Requirement Administrative Aug 25, 2021

Important update: Help for members impacted by wildfires in California

Important update: Help for members impacted by wildfires in California Administrative Aug 12, 2021

Member grievance and appeals attestation requirement

Participating providers are required to acknowledge (annually) that Member Grievance and Appeals forms, a description of grievance procedures, and assistance in filing grievances are readily available at each contracted provider location(s).

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

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Reductions in missed appointments are significant.

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

Clearing up-coding confusion for retinal eye exams (DRE)

New language for two-year compliance (3072F).
August 2021 Anthem Blue Cross Provider News - California Administrative Aug 1, 2021

Register now for our August CME webinars!

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

Schedule appointments online through Availity

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

Specialty dose rounding program for certain oncology medications

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

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

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

Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit, October 1, 2021

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

Immune globulin adjusted body weight dosing program beginning August 1, 2021

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

Pharmacy information available on anthem.com/ca

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

Reimbursement policy update: Claims requiring additional documentation (facility)

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

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

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

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

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

Infliximab Step Therapy – effective July 15, 2021

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

Help for members impacted by wildfires in California

Help for members impacted by wildfires in California Administrative Jul 30, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Clinical Quality CME Webinar Series Continues - California Administrative Jul 29, 2021

Clinical quality in practice: CME webinar series

July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

Medical practices – are you keeping something from us

July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

Another mark of the pandemic: An increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors
July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

How to enroll in electronic fund transfer for faster remittance

July 2021 Anthem Blue Cross Provider News - California Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Blue Cross Provider News - California Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Blue Cross Provider News - California Digital Tools Jul 1, 2021

Overlapping service areas

July 2021 Anthem Blue Cross Provider News - California Behavioral Health Jul 1, 2021

Where and how to submit BlueCard claims

July 2021 Anthem Blue Cross Provider News - California Behavioral Health Jul 1, 2021

BlueCard® program quick tips

July 2021 Anthem Blue Cross Provider News - California Behavioral Health Jul 1, 2021

Practice status: open or closed

July 2021 Anthem Blue Cross Provider News - California Behavioral Health Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Blue Cross Provider News - California Pharmacy Jul 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

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

Coding spotlight: Mental disorders in childhood

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

What matters most: Improving the patient experience

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

Resources to support your diverse patient panel

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

Infusion step therapy retraction notice

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

Specialty pharmacy prior authorization retraction notice

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

February 2021 medical policies and utilization management guidelines update

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

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327

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

Certain specialty medication precertification requests may require additional documentation

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

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837

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

March 2021 medical drug benefit clinical criteria updates

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

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

March 2021 Medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 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 Medicare Jul 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

March 2021 Medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 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 Cal MediConnect Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Anthem Blue Cross Provider News - California Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com/ca

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

Regular check-ins with your clearinghouse could affect timely filing

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

Don’t miss this: Timely access regulations and language assistance program

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

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

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

Anthem Blue Cross provider directory and provider data updates

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

Keep your contact information current

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

Network leasing arrangements

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

Provider education

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

Two great learning resources on one secure portal

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

Digital solution options with Availity

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

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

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

Essential information you need to submit EDI corrected claims

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