California
Provider Communications

March 2023 Anthem Blue Cross Provider News - California

Download as PDF

Title	Category
March is National Colorectal Cancer Awareness Month	Administrative
Group number change for Screen Actors Guild-American Federation of Television and Radio Artists Health Plan	Administrative
Time to prepare for HEDIS medical record review	Administrative
Provider directory - annual audit	Administrative
Reminder: Updated Carelon Medical Benefits Management, Inc. Musculoskeletal Program effective April 1, 2023 - Site of care reviews	Administrative
Advancing Mental Health Equity for Youth & Young Adults	Administrative
Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews	Administrative
Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023	Products & Programs
Pharmacy information available on our provider website	Pharmacy
Change to nonparticipating mental health facility services reimbursement for CalPERS	CalPERS
Policy Update Modifiers 25 and 57	Medi-Cal Managed Care
Keep up with Medi-Cal news - March 2023 Clinical Criteria updates Prior authorization updates for medications billed under the medical benefit (Carvykti) Prior authorization updates for medications billed under the medical benefit (Aduhelm)	Medi-Cal Managed Care
Annual planned visits	Medicare
Controlling High Blood Pressure and Submitting Compliant Readings	Medicare
Western Teamsters Welfare Trust offers Medicare Advantage option	Medicare
Informational Update Modifier Usage	Medicare
Shared savings and transition care management after inpatient discharges	Medicare
Keep up with Medicare News - March 2023 Carelon Medical Benefits Management, Inc. Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT code list update Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List update Clinical Criteria updates Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List New specialty pharmacy medical step therapy requirements (Neulasta, Neulasta OnPro, Udenyca)	Medicare

Page 1 of 1

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use.