California
Provider Communications

Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines

Authorizations for post-acute care services for PPO Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medical drug benefit Clinical Criteria updates

Medical policies and clinical utilization Management guidelines update

Provider notice for COVID-19 testing

Keep up with Medicare news – June 2022

• Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
• Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
• New specialty pharmacy medical step therapy requirements
• Anthem Blue Cross expands specialty pharmacy precertification list

Medical drug benefit Clinical Criteria updates

Network adequacy – subcontractor expectations

Keep up with Medi-Cal news – June 2022

• Prior authorization updates for medications billed under the medical benefit
• Provider notification process
• Provider coding education: Webinars and on-demand trainings are now available!

Keep up with Cal MediConnect news - June 2022

• New specialty pharmacy medical step therapy requirements
• Medical drug benefit Clinical Criteria updates
• Anthem Blue Cross expands specialty pharmacy precertification list

Opioid overdose deaths: What can we do?

Find answers to BlueCard® questions

BlueCard® Program quick tips

Practice status: Open or closed

Overlapping Blue Plan service areas

Timely access regulations and language assistance program

CAA: Provider directories accuracy is important

Provider outreach to validate your provider data

Understanding status of your application or request

Exploring the Intersection of Race and Disability

Once-a-year testing is critically important to providing quality diabetes care

Timely access regulations and language assistance program