California
Provider Communications

October 2020 Anthem Blue Cross Provider News - California

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Title Category

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

Products & Programs

Transition to AIM Rehabilitative Service Clinical appropriateness guidelines

Products & Programs

Updated coverage for Breast Cancer prevention medications

Pharmacy

Anthem Blue Cross updates formulary lists for commercial health plan pharmacy benefit

Pharmacy

FDA approvals and expedited pathways used: New Molecular Entities (NMEs)

Pharmacy

Pharmacy information available on anthem.com/ca

Pharmacy

Take a look at our Behavioral Health Case Management Program

Behavioral Health

Timely access regulations and language assistance program

Behavioral Health

What matters most: Improving the patient experience

Administrative

National accounts 2021 pre-certification list

Administrative

Three $0 office visit co-pay benefit for Self-Insured Schools of California members

Administrative

New Anthem High Performance/Blue High Performance Network included in plans available for employee open enrollment Fall 2020

Administrative

For 2021 Anthem continues to offer EPO and HMO individual on and off exchange products

Administrative

Commercial Risk Adjustment reporting update: New guidance on telephone-only service CPT codes for risk adjustment program

Administrative

Timely access regulations and language assistance program

Administrative

Electronic member ID cards available on the Availity Portal

Administrative

New medical claim attachment webinars: Register today

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

Network leasing arrangements

Administrative

Reimbursement policy update: Claims requiring additional documentation policy (facility)

Reimbursement Policies

Prior authorization requirements for E0482

Medi-Cal Managed Care

Patient360 enhancement for medical providers

Medi-Cal Managed Care

Coding spotlight: Providers guide to coding for behavioral health disorders

Medi-Cal Managed Care

Prior authorization requirements for the below codes

Medicare

Evaluation and management services correct coding

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

In-office assessment program

Medicare

May 2020 medical policies and clinical utilization management guidelines update

Medicare

Patient360 enhancement for medical providers

Medicare

Prior authorization requirements for the below codes

Medicare

Update: Notice of changes to the AIM musculoskeletal program

Medicare

Medical drug benefit Clinical Criteria updates

Cal MediConnect
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