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

Misrouted protected health information (PHI)

Administrative

Anthem Blue Cross' PERS Select PPO update

Administrative

Special Investigations Unit updates

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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