California
Provider Communications

December 2022 Anthem Blue Cross Provider News - California

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Title Category

An overview of our medical necessity review process

Administrative

Senate Bill 245 addressing abortion, abortion related services, cost sharing and utilization management, including prior authorizations

Administrative

CAA: Timely updates help keep our provider directories current

Administrative

Clinical practice and preventive health guidelines available on anthem.com/ca

Administrative

Members’ rights and responsibilities

Administrative

Member’s assessment of behavioral healthcare after-hours messaging in 2022

Administrative

Coordination of care

Administrative

Case management program

Administrative

Contract compliance with accessibility standards for Appointment Availability and Emergency Care instructions after hours care

Administrative

IngenioRx will become CarelonRx on January 1, 2023

Administrative

Signature requirements for laboratory orders or requisitions

Administrative

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

Policy Updates

Reimbursement policy retraction: updates to professional and facility reimbursement policies

Reimbursement Policies

Reimbursement policy update: Multiple Surgery - Facility

Reimbursement Policies

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

Reimbursement Policies

Overlapping Blue Plan service areas

Behavioral Health

BlueCard program quick tips

Behavioral Health

Find answers to BlueCard questions

Behavioral Health

Practice status: open or closed

Behavioral Health

Does your practice offer telehealth services? Let us know!

Behavioral Health

Pharmacy information available on the provider website

Pharmacy

Update to the Pregnancy Notification Form

Medi-Cal Managed Care

New Digital Provider Enrollment tool added to Availity

Medi-Cal Managed Care

Keep up with Medi-Cal news - December 2022

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
Medi-Cal Managed Care

2023 Medicare Advantage service area and benefit updates

Medicare

Personal home helper benefit ending

Medicare

Keep up with Medicare news - December 2022

  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Medical Policies and Clinical Utilization Management Guidelines update
Medicare

Cal MediConnect Plans change effective January 1, 2023

Cal MediConnect

Keep up with Cal MediConnect news - December 2022

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Medical drug benefit Clinical Criteria updates
Cal MediConnect
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