California
Provider Communications

April 2020 Anthem Blue Cross Provider News - California

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Title	Category
Anthem Blue Cross to delay most April 1, 2020, formulary list updates for commercial health plan pharmacy benefit	Pharmacy
Pharmacy information available on anthem.com/ca	Pharmacy
Delay of Applied Behavior Analysis rates change	Behavioral Health
Information from Anthem for Care Providers about COVID-19 Bookmark Provider News Home for the latest information for Care Providers about COVID-19.	Administrative
Anthem acquires Beacon Health Options	Administrative
Provider transparency update	Administrative
Anthem Blue Cross cost transparency	Administrative
Join today! Subscribe to the Anthem Marketplace for Workers’ Compensation	Administrative
Member grievance process and forms must be made available upon request at provider offices	Administrative
Patient360 Enhancement for medical providers	Administrative
Anthem Blue Cross continues focus on updates to our public provider website	Administrative
Provider Education seminars, webinars, workshops and more!	Administrative
Anthem Blue Cross provider directory and provider data updates	Administrative
Easily update provider demographics with the online Provider Maintenance Form	Administrative
Contracted provider claim escalation process	Administrative
Stay “in the know” at no charge!	Administrative
Network leasing arrangements	Administrative
HEDIS 2020 Federal Employee Program medical record request requirements	Federal Employee Plan (FEP)
New MA Opioid Treatment Program benefit	Medicare
Medical Policies and Clinical Utilization Management Guidelines update	Medicare
Prior authorization requirements: new 2020 codes for coverage and precertification	Medicare
2020 Medicare risk adjustment provider trainings	Medicare
Medical drug benefit Clinical Criteria updates for November 2019	Medicare
Medical drug benefit Clinical Criteria updates for December 2019	Medicare
COVID-19 Virus Talking Points	Medi-Cal Managed Care
Coding tip for psychological and neuropsychological testing	Medi-Cal Managed Care
Medical drug benefit Clinical Criteria updates for November 2019	Medi-Cal Managed Care
Medical drug benefit Clinical Criteria updates for December 2019	Medi-Cal Managed Care
Medical Policies and Clinical Utilization Management Guidelines update	Medi-Cal Managed Care
Disease Management can help you care for patients with chronic health care needs	Medi-Cal Managed Care
Multiple and bilateral surgery, professional and facility reimbursement policy update *Policy 06-010, effective 05/01/20, revised 03/01/20*	Medi-Cal Managed Care
Use of imaging studies for Low back Pain (LBP)	Medi-Cal Managed Care
New specialty pharmacy medical injectable step therapy requirements	Medi-Cal Managed Care
New specialty pharmacy medical step therapy requirements	Medi-Cal Managed Care
Access to care standards	Medi-Cal Managed Care
Prior authorization requirements: new 2020 codes for coverage and precertification	Medi-Cal Managed Care
Prior authorization requirements: new 2020 codes for coverage and precertification	Cal MediConnect
Medical drug benefit clinical criteria updates for November 2019	Cal MediConnect
Medical drug benefit clinical criteria updates for December 2019	Cal MediConnect
Medical policies and clinical utilization management guidelines update	Cal MediConnect

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