Action required for HMO medical groups — submit HMO ancillary information

Each year, Anthem is required to report the referral process of our HMO networks to the Department of Managed Health Care (DMHC). This includes all ancillary providers to which our medical group partners refer Anthem members.

In order to report the most accurate information, we are asking for your assistance in providing us with a complete list of ancillary providers to which each HMO site refers their Anthem members. We need information from the following list of capitated ancillary services:

• Acupuncture
• Dietician/nutrition
• Chiropractic
• Occupational therapy
• Speech therapy
• Audiology
• Imaging/radiology
• Oral surgery
• Infusion/IV therapy
• Sleep disorder diagnosis/treatment
• Laboratory
• Physical therapy
• Urgent care centers

Submissions can be made through Availity. Please refer to the Roster Submission Guide, which is available online at https://Availity.com. Navigate to Payer Spaces, select the relevant Payer Tile, and then go to Resources > Roster Submission Guide using Provider Data Management.