California
Provider Communications

October 2018 Anthem Blue Cross Provider Newsletter - California

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Title	Category
Don’t leave money on the table! Submit electronic SOAP notes today using ePASS and receive $100 each	Products & Programs
Anthem Blue Cross Language Assistance Program	Products & Programs
Anthem Blue Cross accepts prior authorization requests for prescription medications online	Pharmacy
Pharmacy information available on anthem.com/ca	Pharmacy
Anthem Blue Cross launches additional changes to anthem.com/ca in October	Administrative
Update regarding HCPCS code A0998 – Ambulance response and treatment with no transport	Administrative
Anthem Blue Cross Community Care Coordination expands relationship with Preferred Community Health Partners to support commercial members with complex needs	Administrative
Integrated medical and behavioral healthcare services	Administrative
Anthem Blue Cross' PERS Select PPO update	Administrative
Special Investigations Unit updates	Administrative
Misrouted protected health information (PHI)	Administrative
Individual on and off exchange plans – 2019 benefit year update	Administrative
Dispute resolution compliance	Administrative
Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations	Administrative
Availity EDI Gateway Webinars Scheduled	Administrative
Who is Availity?	Administrative
Anthem Blue Cross fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy Extension for Community Healthcare Outcomes (ECHO)	Administrative
Tips for billing CPT modifier 33	Administrative
Access patient-specific drug benefit information through EMR	Administrative
Explore new enhancements to the Education and Reference Center	Administrative
Contracted provider claim escalation process	Administrative
Provider Education seminars, webinars, workshops and more!	Administrative
Anthem Blue Cross provider directory and provider data updates	Administrative
Easily update provider demographics with the online Provider Maintenance Form	Administrative
Sign-up now for our Network eUPDATE today – it’s free!	Administrative
Network leasing arrangements	Administrative
Clinical practice and preventive health guidelines available online	Policy Updates
Genetic testing prior authorization by ordering physician helps ensure accurate lab payment	Medicare
Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM	Medicare
Please evaluate statin use for MA members with diabetes, cardiovascular disease	Medicare
Medicare pharmacy and prescriber home starts January 2019	Medicare
CalPERS Medicare Advantage plan members to receive new ID cards	Medicare
Keep up with Medicare news	Medicare
Medical Policies and Clinical Utilization Management Guidelines update	Medi-Cal Managed Care
Vaginal birth after cesarean shared decision-making aid available	Medi-Cal Managed Care
Streamline workflow with solicited medical attachments	Medi-Cal Managed Care
Anthem Blue Cross opiod addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy	Medi-Cal Managed Care
Prior authorization requirements for Interferon beta-1a	Medi-Cal Managed Care
Prior authorization requirements for Somatrem	Medi-Cal Managed Care
Regulatory updates	Medi-Cal Managed Care
EDI Gateway migration	Medi-Cal Managed Care
Cervical length measurement by transvaginal ultrasound	Medi-Cal Managed Care
New pharmacy prior authorization fax number and new Provider Services phone number	Medi-Cal Managed Care
New pharmacy electronic prior authorization request tool effective November 4, 2018	Medi-Cal Managed Care
Prior authorization requirements for Part B drugs: Retacrit (epoetin alfa-epbx), Damoctocog and llumya (tildrakizumab)	Cal MediConnect
Inpatient readmissions reimbursement policy update	Medi-Cal Managed Care
Short and long acting narcotics regulatory changes and limits to days’ supplies	Cal MediConnect
Prior authorization requirments for Part B drugs: Moxetumomab Pasudotox, Cemiplimab and Fulphila (pegfilgrastim-jmbd)	Cal MediConnect
Update to Durable Medical Equipment – effective October 14, 2018	Administrative

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