California
Provider Communications

January 2021 Anthem Blue Cross Provider News - California

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Title	Category
IngenioRx introduces new pharmacy network in 2021	Pharmacy
Important update to our Medical Specialty Pharmacy (MSP) CVS drug list	Pharmacy
New Blue HPN plans now in effect	Administrative
Availity attachment tools for Anthem Blue Cross and Affiliate payers – live Webinars You’re invited!	Administrative
Professional System updates for 2021	Administrative
Professional Evaluation and Management changes 2021	Administrative
Outpatient system updates for 2021 - Facility	Administrative
It is almost CAHPS survey time!	Administrative
New features added to Interactive Care Reviewer	Administrative
Find out in minutes why your claim denied Introducing self-service claim denial review on our secure provider portal.	Administrative
Self-service, digital transactions are fast and easy	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
2021 FEP® Benefit information available online	Federal Employee Plan (FEP)
CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021	Medi-Cal Managed Care
New specialty pharmacy medical step therapy requirements	Medi-Cal Managed Care
Medical drug benefit Clinical Criteria updates	Medi-Cal Managed Care
August 2020 Medical Policies and Utilization Management Guidelines update	Medi-Cal Managed Care
Coding spotlight: HEDIS MY 2021	Medi-Cal Managed Care
Disease Management/Population health program	Medi-Cal Managed Care
CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021	Medicare
Policy update – emergency department: Leveling of Evaluation and Management services	Medicare
Keep up with Medicare news	Medicare
2020 Medicare risk adjustment provider trainings	Medicare
SNF admission reporting requirements for D-SNP plans	Medicare
Policy update – Nurse Practitioner and Physician Assistant Services, Professional	Medicare
Updates to AIM Clinical Appropriateness Guidelines for Radiation	Medicare
Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging	Medicare
Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines	Medicare
Medical drug benefit Clinical Criteria updates	Medicare
United Food and Commercial Workers Unions offers Medicare Advantage option	Medicare
The University of the Pacific offers Medicare Advantage option	Medicare
Intel Corporation in California moves to Medicare Advantage plan from Anthem Blue Cross	Medicare
Inland Empire International Brotherhood of Electrical Workers – National Electrical Contractors Association health plan in California moves to a Medicare Advantage plan from Anthem Blue Cross	Medicare
Los Angeles County Office of Education moves to Anthem Blue Cross Medicare Advantage plan	Medicare
CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021	Cal MediConnect
August 2020 MMP Medical Policies and Utilization Management Guidelines update	Cal MediConnect

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