California
Provider Communications

December 2020 Anthem Blue Cross Provider News - California

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Title	Category
Transition to AIM Rehabilitative services clinical appropriateness guidelines	Products & Programs
CORRECTION: Changes to utilization requirements for Avsola, Renflexis and Inflectra for CalPERS PPO members only!	Pharmacy
AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021	Pharmacy
Medical Specialty Pharmacy (MSP) drug list, effective December 1, 2020	Pharmacy
Pharmacy information available on anthem.com/ca	Pharmacy
Commercial Behavioral Health provider data updates	Behavioral Health
Where and how to submit BlueCard® claims	Behavioral Health
BlueCard Program quick tips	Behavioral Health
Network relations teams aren’t the same, where to go with questions	Behavioral Health
Overlapping services areas	Behavioral Health
Contracted provider dispute resolution	Behavioral Health
Practice status: Open or closed	Behavioral Health
Forms make practice changes easy	Behavioral Health
Member grievance process and forms must be made available upon request at behavioral health provider offices	Behavioral Health
2019 After Hours and PAAS survey results	Behavioral Health
Access to claim denial information is now self-service Through predictive analytics, health care teams can now receive real-time solutions to claim denials	Administrative
New Anthem High Performance/Blue High Performance – effective January 2021	Administrative
Anthem and Quest Diagnostics form strategic relationship	Administrative
Anthem Blue Cross continues to offer EPO and HMO individual on and off exchange products for 2021	Administrative
Air Ambulance providers	Administrative
Anthem Blue Cross makes going digital easy with the Provider Digital Engagement Supplement	Administrative
2019 After Hours and Provider Appointment Availability Survey Results	Administrative
PCP after-hours access requirements	Administrative
2-minute videos to engage patients about preventive care	Administrative
An overview of our medical necessity review process	Administrative
Members’ rights and responsibilities	Administrative
Appropriate 911/Emergency care procedures	Administrative
Anthem Blue Cross provider directory and provider data updates	Administrative
Easily update provider demographics with the online Provider Maintenance Form	Administrative
Provider Education seminars, webinars, workshops and more!	Administrative
Stay “in the know” at no charge!	Administrative
Network leasing arrangements	Administrative
Changes to reimbursement for ambulatory surgery centers	Reimbursement Policies
Reminder: Professional reimbursement policies updates, effective January 1, 2021	Reimbursement Policies
Professional reimbursement policy update: Bundled services and supplies	Reimbursement Policies
Anthem Blue Cross expands hospice policy	Medical Policy & Clinical Guidelines
Clinical practice and preventive health guidelines available on anthem.com/ca	Medical Policy & Clinical Guidelines
Coordination of care	Medical Policy & Clinical Guidelines
Case management program	Medical Policy & Clinical Guidelines
Digital transactions cut administrative tasks in half	Medi-Cal Managed Care
Reimbursement policy update: Split-care surgical modifiers Policy 11-005, effective 03/01/21	Medi-Cal Managed Care
Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines	Medi-Cal Managed Care
CAHPS education for providers	Medi-Cal Managed Care
Notifications on the Availity Portal	Medi-Cal Managed Care
Transition to AIM Small Joint guidelines	Medi-Cal Managed Care
Anti-VEGF Medical Step Therapy notice	Medi-Cal Managed Care
Resources to support your pregnant and postpartum patients and their families	Medi-Cal Managed Care
Clinical laboratory improvement amendments number – additional information	Medi-Cal Managed Care
Sign up to receive email from Anthem Blue Cross	Medi-Cal Managed Care
Digital transactions cut administrative tasks in half	Medicare
Medicare Advantage group retiree member eligibility, Alpha Prefix FAQ	Medicare
2021 Medicare Advantage individual benefits and formularies	Medicare
Transition to AIM Small Joint guidelines	Medicare
Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines	Cal MediConnect
Transition to AIM Small Joint guidelines	Cal MediConnect

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