California
Provider Communications

July 2020 Anthem Blue Cross Provider News - California

Title	Category
Claims status listing and remittance inquiry updates for Atypical providers	Administrative
Updated Coverage for HIV PrEP medications	Administrative
Welcome to the Customer Learning Center in Availity	Administrative
Commercial Risk Adjustment reporting update: 2020 program year progression; what’s in it for you and your patients?	Administrative
Timely access regulations and language assistance program	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
New MCG 24th Edition Guidelines	Medical Policy & Clinical Guidelines
Medical policies and clinical utilization management guidelines update	Medi-Cal Managed Care
2020 affirmative statement concerning utilization management decisions	Medi-Cal Managed Care
Medical drug benefit Clinical Criteria updates	Medi-Cal Managed Care
Coding spotlight: Provider guide to coding for cardiovascular conditions	Medi-Cal Managed Care
Access to care standards	Medi-Cal Managed Care
Modifier use reminders	Medi-Cal Managed Care
Prior authorization requirements for angiographic evaluation of stenotic or thrombosed	Medi-Cal Managed Care
Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Adventist Health Tulare	Medi-Cal Managed Care
Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Palmdale Regional	Medi-Cal Managed Care
Medical policies and clinical utilization management guidelines update	Medicare
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines	Medicare
Transition to AIM rehabilitative services clinical appropriateness guidelines	Medicare
2020 affirmative statement concerning utilization management decisions	Medicare
2020 special needs plans	Medicare
Anthem Blue Cross expanded HMO network guidance	Medicare
Medical drug benefit clinical criteria updates	Medicare
Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross	Medicare
Modifier use reminders	Medicare
Medical policies and clinical utilization management guidelines update	Cal MediConnect
Medical drug benefit clinical criteria updates	Cal MediConnect
Modifier use reminders	Cal MediConnect

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California
Provider Communications

July 2020 Anthem Blue Cross Provider News - California

Claims status listing and remittance inquiry updates for Atypical providers

Updated Coverage for HIV PrEP medications

Welcome to the Customer Learning Center in Availity

Commercial Risk Adjustment reporting update: 2020 program year progression; what’s in it for you and your patients?

Timely access regulations and language assistance program

Anthem Blue Cross provider directory and provider data updates

Easily update provider demographics with the online Provider Maintenance Form

Network leasing arrangements

New MCG 24th Edition Guidelines

Medical policies and clinical utilization management guidelines update

2020 affirmative statement concerning utilization management decisions

Medical drug benefit Clinical Criteria updates

Coding spotlight: Provider guide to coding for cardiovascular conditions

Access to care standards

Modifier use reminders

Prior authorization requirements for angiographic evaluation of stenotic or thrombosed

Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Adventist Health Tulare

Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Palmdale Regional

Medical policies and clinical utilization management guidelines update

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Transition to AIM rehabilitative services clinical appropriateness guidelines

2020 affirmative statement concerning utilization management decisions

2020 special needs plans

Anthem Blue Cross expanded HMO network guidance

Medical drug benefit clinical criteria updates

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross

Modifier use reminders

Medical policies and clinical utilization management guidelines update

Medical drug benefit clinical criteria updates

Modifier use reminders

CaliforniaProvider Communications

July 2020 Anthem Blue Cross Provider News - California

California
Provider Communications