California
Provider Communications

April 2020 Anthem Blue Cross Provider News - California

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Title Category

2020 Medicare risk adjustment provider trainings

Medicare

Access to care standards

Medi-Cal Managed Care

Anthem acquires Beacon Health Options

Administrative

Anthem Blue Cross continues focus on updates to our public provider website

Administrative

Anthem Blue Cross cost transparency

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Anthem Blue Cross to delay most April 1, 2020, formulary list updates for commercial health plan pharmacy benefit

Pharmacy

Coding tip for psychological and neuropsychological testing

Medi-Cal Managed Care

Contracted provider claim escalation process

Administrative

COVID-19 Virus Talking Points

Medi-Cal Managed Care

Delay of Applied Behavior Analysis rates change

Behavioral Health

Disease Management can help you care for patients with chronic health care needs

Medi-Cal Managed Care

Easily update provider demographics with the online Provider Maintenance Form

Administrative

HEDIS 2020 Federal Employee Program medical record request requirements

Federal Employee Plan (FEP)

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.
Administrative

Join today! Subscribe to the Anthem Marketplace for Workers’ Compensation

Administrative

Medical drug benefit Clinical Criteria updates for December 2019

Medicare

Medical drug benefit Clinical Criteria updates for December 2019

Medi-Cal Managed Care

Medical drug benefit clinical criteria updates for December 2019

Cal MediConnect

Medical drug benefit Clinical Criteria updates for November 2019

Medicare

Medical drug benefit Clinical Criteria updates for November 2019

Medi-Cal Managed Care

Medical drug benefit clinical criteria updates for November 2019

Cal MediConnect

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medi-Cal Managed Care

Medical policies and clinical utilization management guidelines update

Cal MediConnect

Member grievance process and forms must be made available upon request at provider offices

Administrative

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

Network leasing arrangements

Administrative

New MA Opioid Treatment Program benefit

Medicare

New specialty pharmacy medical injectable step therapy requirements

Medi-Cal Managed Care

New specialty pharmacy medical step therapy requirements

Medi-Cal Managed Care

Patient360 Enhancement for medical providers

Administrative

Pharmacy information available on anthem.com/ca

Pharmacy

Prior authorization requirements: new 2020 codes for coverage and precertification

Medicare

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

Provider Education seminars, webinars, workshops and more!

Administrative

Provider transparency update

Administrative

Stay “in the know” at no charge!

Administrative

Use of imaging studies for Low back Pain (LBP)

Medi-Cal Managed Care
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