California
Provider Communications

June 2020 Anthem Blue Cross Provider News - California

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Title	Category
A special thank you to Care Providers Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.	Administrative
Anthem Blue Cross introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis	Administrative
Availity portal notification center	Administrative
Commercial Risk Adjustment program update: Retrospective program begins; prospective program continues	Administrative
Quality Corner: CPT® Category II Codes: Collaborating for enhanced patient care	Administrative
Contracted provider claim escalation process	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
Sign-up now for our Provider News today at no charge!	Administrative
Network leasing arrangements	Administrative
Follow-up after hospitalization for Mental Illness	Behavioral Health
Anthem Blue Cross enhances process for submitting behavioral health authorizations now available	Behavioral Health
Contracted provider dispute resolution	Behavioral Health
Network relations teams aren’t the same, where to go with questions	Behavioral Health
Commercial behavioral health provider data updates	Behavioral Health
Practice status: Open or closed	Behavioral Health
Forms make practice changes easy	Behavioral Health
Network leasing arrangements are online	Behavioral Health
Stay “in the know” at no charge!	Behavioral Health
Misrouted protected health information	Behavioral Health
Behavioral health timely access regulations and language assistance program	Behavioral Health
Clinical practice and preventive health guidelines available on the web	Behavioral Health
Anthem Blue Cross’ member rights and responsibilities	Behavioral Health
Release of medical records	Behavioral Health
Pharmacy information available online	Behavioral Health
Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!	Behavioral Health
Member grievance process and forms must be made available upon request at behavioral health provider offices	Behavioral Health
New digital provider enrollment application for behavioral health	Behavioral Health
Overlapping service areas	Behavioral Health
Where and how to submit BlueCard® claims	Behavioral Health
BlueCard® Program quick tips	Behavioral Health
CVS Specialty, Anthem’s designated specialty pharmacy	Pharmacy
Pharmacy information available on anthem.com/ca	Pharmacy
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines	Medical Policy & Clinical Guidelines
Medical policies and clinical utilization management guidelines update	Medi-Cal Managed Care
Modifier use reminders	Medi-Cal Managed Care
Acquisition of Beacon Health Options	Medi-Cal Managed Care
MCG care guidelines: 24 Edition	Medi-Cal Managed Care
Coding spotlight: Provider’s guide to code social determinants of health	Medi-Cal Managed Care
Follow-up after hospitalization for mental illness	Medi-Cal Managed Care
Complex case management program	Medi-Cal Managed Care
Important information about utilization management	Medi-Cal Managed Care
Members’ Rights and Responsibilities Statement	Medi-Cal Managed Care
CVS Specialty: Our designated specialty pharmacy	Medi-Cal Managed Care
Resources supporting our providers during COVID-19	Medi-Cal Managed Care
Anthem Blue Cross (Anthem) working with Optum to collect medical records for risk adjustment	Medicare
2020 Medicare risk adjustment provider trainings	Medicare
Diabetes HbA1c < 8 HEDIS guidance	Medicare
Modifier use reminders	Medicare
MCG care guidelines: 24th Edition	Cal MediConnect
Anthem Blue Cross (Anthem) working with Optum to collect medical records for risk adjustment	Cal MediConnect
Modifier use reminders	Cal MediConnect
Updates to AIM Sleep Disorder Management clinical appropriateness guideline	Cal MediConnect

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