California
Provider Communications

Articles

Title Publication Category Date

Updated coverage for Breast Cancer prevention medications

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

Anthem Blue Cross updates formulary lists for commercial health plan pharmacy benefit

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

FDA approvals and expedited pathways used: New Molecular Entities (NMEs)

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

Pharmacy information available on anthem.com/ca

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

IngenioRx introduces new pharmacy network in 2021

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

US Antibiotic Awareness Week

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

Changes to utilization requirements for Avsola, Renflexis and Inflectra for CalPERS PPO members only!

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

CORRECTION: Changes to utilization requirements for Avsola, Renflexis and Inflectra for CalPERS PPO members only!

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

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

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

Medical Specialty Pharmacy (MSP) drug list, effective December 1, 2020

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

Pharmacy information available on anthem.com/ca

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

IngenioRx introduces new pharmacy network in 2021

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

Important update to our Medical Specialty Pharmacy (MSP) CVS drug list

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

Pharmacy information available on anthem.com/ca

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

Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit

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

Pharmacy information available on anthem.com/ca

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

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

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

Pharmacy information available on anthem.com/ca

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

Pharmacy information available on anthem.com/ca

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

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Blue Cross Provider News - California Pharmacy Jul 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

Pharmacy information available on anthem.com/ca

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

Important update on Botox® for Anthem Blue Cross members

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

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

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

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

Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option

January 18, 2019: Anthem Blue Cross eUPDATE - California Medicare Jan 17, 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

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

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

Fall prevention tips

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

Medical records request for risk adjustment

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

Medicare Advantage reimbursement policy provider bulletin

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

Partial hospitalization services

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

New incentive program reimbursement for select CPT Category II codes

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

Prior authorization requirements for DME repair and portable oxygen concentrator

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

Update: Evaluation and management with Modifier 25

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

Keep up with Medicare news

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

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Blue Cross Provider Newsletter - California Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Blue Cross Provider Newsletter - California Medicare Jun 1, 2019

Sepsis diagnosis coding and billing reminder

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

Home health billing guidelines for contracted providers

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

Outpatient rehabilitation program transitioning to AIM

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

LAPRA to offer Medicare Advantage from Anthem Blue Cross

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

Keep up with Medicare news

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

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

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

New service types added to Availity

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

AIM Specialty Health programs may require documentation

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

Special needs plans, provider training required

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

Emergency department: Level of Evaluation and Management Services

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

Prepayment clinical validation review process

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

Update to emergency department: Level of E&M services reimbursement policy

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

Unspecified diagnosis code update

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

Keep up with Medicare news

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

Coming soon, electronic attachments

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

Clinical criteria updates

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

Customizations to the 23rd edition of the MCG Care Guidelines

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

Pharmacy benefit manager change to IngenioRx

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

Keep up with Medicare news

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

Coming soon, electronic attachments

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

Prior authorization requirements for Global March MPTAC CCRT configuration

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

Aspire Telehealth Palliative Care program

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

Clinical laboratory improvement amendments for Anthem Blue Cross

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