California
Provider Communications

August 2020 Anthem Blue Cross Provider News - California

Title	Category
Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit	Pharmacy
Pharmacy information available on anthem.com/ca	Pharmacy
Did you know? Referral requirements for students with University of California Student Health Insurance Plan (UC SHIP) coverage	Administrative
Electronic claims submission: Clinical Laboratory Improvement Amendments (CLIA)	Administrative
Provider Contract and Fee Schedule Notifications coming soon!	Administrative
Resources to support diverse patients and communities	Administrative
Migrate your EDI transactions to Availity today	Administrative
Appropriate coding helps provide a comprehensive picture of patients’ health	Administrative
Coming soon: Enhance your prior authorization and inpatient admission and discharge notification via electronic and digital self-service for 2020	Administrative
Anthem Blue Cross electronic attachments - X12 275 5010	Administrative
Medical Provider Network: Physician Acknowledgements for Workers’ Compensation required by California	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
Network leasing arrangements	Administrative
Medical record standards	Medical Policy & Clinical Guidelines
Facility Reimbursement Policy Update – claims requiring additional documentation	Reimbursement Policies
Medical drug benefit Clinical Criteria updates	Medi-Cal Managed Care
Regulatory updates	Medi-Cal Managed Care
Submit behavioral health authorizations via our online Interactive Care Reviewer tool	Medi-Cal Managed Care
New MCG Care Guidelines 24th edition	Medi-Cal Managed Care
Provider data update	Medicare
Medical drug benefit Clinical Criteria updates	Medicare
2020 Medicare risk adjustment provider trainings	Medicare
Submit behavioral health authorizations via our online Interactive Care Reviewer tool	Medicare
New MCG Care Guidelines 24th edition	Medicare
AIM Musculoskeletal program expansion	Medicare
Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM	Medicare
Medical drug benefit Clinical Criteria updates	Cal MediConnect
Submit behavioral health authorizations via our online Interactive Care Reviewer tool	Cal MediConnect
New MCG Care Guidelines 24th edition	Cal MediConnect
Updates to AIM musculoskeletal program clinical appropriateness guidelines	Cal MediConnect

Page 1 of 1

Articles by Publication

Articles by Category

Articles by Date

California
Provider Communications

August 2020 Anthem Blue Cross Provider News - California

Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit

Pharmacy information available on anthem.com/ca

Did you know? Referral requirements for students with University of California Student Health Insurance Plan (UC SHIP) coverage

Electronic claims submission: Clinical Laboratory Improvement Amendments (CLIA)

Provider Contract and Fee Schedule Notifications coming soon!

Resources to support diverse patients and communities

Migrate your EDI transactions to Availity today

Appropriate coding helps provide a comprehensive picture of patients’ health

Coming soon: Enhance your prior authorization and inpatient admission and discharge notification via electronic and digital self-service for 2020

Anthem Blue Cross electronic attachments - X12 275 5010

Medical Provider Network: Physician Acknowledgements for Workers’ Compensation required by California

Provider Education seminars, webinars, workshops and more!

Anthem Blue Cross provider directory and provider data updates

Easily update provider demographics with the online Provider Maintenance Form

Network leasing arrangements

Medical record standards

Facility Reimbursement Policy Update – claims requiring additional documentation

Medical drug benefit Clinical Criteria updates

Regulatory updates

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

New MCG Care Guidelines 24th edition

Provider data update

Medical drug benefit Clinical Criteria updates

2020 Medicare risk adjustment provider trainings

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

New MCG Care Guidelines 24th edition

AIM Musculoskeletal program expansion

Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM

Medical drug benefit Clinical Criteria updates

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

New MCG Care Guidelines 24th edition

Updates to AIM musculoskeletal program clinical appropriateness guidelines

CaliforniaProvider Communications

August 2020 Anthem Blue Cross Provider News - California

California
Provider Communications