California
Provider Communications

Dec 1, 2020 • State & Federal / Medi-Cal Managed Care

This communication applies to the Medicaid, Medicare Advantage and Medicare-Medicaid Plan (MMP) programs for Anthem Blue Cross (Anthem).

Effective February 4, 2020, Anthem will transition the clinical criteria for medical necessity review of CG-SURG-74 Total Ankle Replacement services to AIM Specialty Health_®* small joint guidelines. These reviews will continue to be completed by the Anthem Utilization Management team.

You may access and download a copy of the AIM Small Joint Guidelines here.

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