California
Provider Communications

August 2018 Anthem Blue Cross Provider Newsletter - California

Download as PDF

Title	Category
New newsletter format launched today!	Administrative
MyDiversePatients.com A website to support your diverse patients	Administrative
Important changes to Anthem Blue Cross’ specialty pharmacy clinical site of care	Pharmacy
Delay in launch of prior authorization for Lutathera until November 1, 2018	Medical Policy & Clinical Guidelines
Anthem Blue Cross’ new Musculoskeletal Program to implement August 15, 2018	Medical Policy & Clinical Guidelines
Check out the enhancements to the Interactive Care Reviewer tool!	Administrative
Availity partners with Anthem Blue Cross as their designated EDI Gateway	Administrative
The Anthem Workers’ Compensation Digital Marketplace is the new PPO! This is a must read for physical therapists and MRI/Radiology providers	Administrative
Member explanation of benefits gets a makeover	Administrative
Health Care Reform Updates (including Health Insurance Exchange) Important information available online	Administrative
Mailing address for Federal Employee Program: Paper claims and claims related correspondence	Federal Employee Plan (FEP)
Important information about billing colonoscopy and related anesthesia services	Administrative
Anthem Blue Cross to enhance automated claim edits for professional claims	Administrative
Contracted provider claim escalation process	Administrative
Provider Education seminars, webinars, workshops and more!	Administrative
Webinar for Availity EDI Gateway services	Administrative
Provider transparency update	Administrative
Anthem Blue Cross provider directory and provider data updates	Administrative
Easily update provider demographics with the online Provider Maintenance Form	Administrative
Workers’ Compensation Physician Acknowledgments Required by California Code of Regulations	Administrative
Sign-up now for our Network eUPDATE today – it’s free!	Administrative
Network leasing arrangements	Administrative
Clinical practice and preventive health guidelines available online	Medical Policy & Clinical Guidelines
Vaginal birth after cesarean (VBAC) aid available on the web	Medical Policy & Clinical Guidelines
Additional support available for members with rare conditions	Medical Policy & Clinical Guidelines
Prior authorization requirements for Cabazitaxel (Jevtana	Medi-Cal Managed Care
Prior authorization requirement for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)	Medi-Cal Managed Care
Anthem Blue Cross adopts 22nd edition of the MCG care guidelines	Medi-Cal Managed Care
Regulatory updates	Medi-Cal Managed Care
Important information about utilization management	Medi-Cal Managed Care
Member rights and responsibilities statement	Medi-Cal Managed Care
Coding spotlight: Obesity	Medi-Cal Managed Care
Electronic data interchange migration to Availity	Medi-Cal Managed Care
Reimbursement policy update; Medical recalls, policy 06-111 – effective November 1, 2018	Medi-Cal Managed Care
Prior authorization requirements for Azedra (iobenguane l 131) and Poteligeo (mogamulizumab)	Cal MediConnect
Electronic data interchange migration to Availity	Cal MediConnect
Reimbursement policy update; Medical recalls, policy 06-111 – effective November 1, 2018	Cal MediConnect
MA members receive incentives for completing screenings	Medicare
DME providers and physicians: important wheelchair prior authorization information	Medicare
Submit PA medication requests electronically; new phone number for MA prescription PAs	Medicare
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019	Medicare
Keep up with Medicare news	Medicare
CA Workers’ Compensation formulary in effect Drug formulary transition for injured workers	Pharmacy
Anthem Blue Cross to update drug lists supporting commercial health plans	Pharmacy
Anthem Blue Cross accepts prior authorization requests for prescription medications online	Pharmacy
Daily morphine equivalent dosing limit	Pharmacy
Pharmacy information available on anthem.com/ca	Pharmacy

Page 1 of 1

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use.