Dec 1, 2018 • State & Federal / Medicare

Please continue to check Important Medicare Advantage Updates at anthem.com/ca/medicareproviderfor the latest Medicare Advantage information, including:

2019 provider annual notice of change

Prior authorization requirements for Colonoscopy and Upper Gastrointestinal Endoscopy Medicare Advantage Reimbursement Policy October Provider Bulletin  

Prior authorization requirements for Part B drugs: Moxetumomab Pasudotox, Cemiplimab and Fulphila  

Prior authorization requirements for Part B drugs: Nivestym  

Prior authorization requirements for high level definitive drug testing(s) 

July Medicare Advantage reimbursement policy  

Submit PA medication requests electronically; new phone number for MA prescription PAs 

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019  

Inpatient Readmissions   

Group sponsored Medicare Advantage plan members to receive new ID cards  

74837MUPENMUB 10/25/2018


Featured In:
December 2018 Anthem Blue Cross Provider Newsletter - California