CommercialMarch 31, 2023
April 2023 Provider News - California
Administrative
CommercialMarch 31, 2023
Action required: 2023 Consumer Grievance and Appeals attestation RequirementCommercialMarch 31, 2023
Medical Oncology Program ProviderPortal case entry enhancementsCommercialMarch 31, 2023
Authorizations for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services for consumers with individual, group retiree solutions (GRS), and dual-eligible plans from Medicare AdvantageCommercialMedicare AdvantageMedicaidMarch 31, 2023
Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measuresCommercialMedicare AdvantageMedicaidMarch 31, 2023
Attention lab providers: COVID-19 update regarding reimbursementCommercialMarch 31, 2023
Helping to reduce delays when submitting attachmentsCommercialMarch 31, 2023
Confidential communication of medical informationCommercialMarch 31, 2023
CAA: Maintain your online provider directory informationCommercialMedicare AdvantageMedicaidMarch 31, 2023
Survey for all skilled nursing facilitiesCommercialMarch 31, 2023
Submitting prior authorizations is getting easierEducation & Training
MedicaidMarch 31, 2023
Ready, set, renew!Products & Programs
CommercialMarch 31, 2023
Let’s VaccinateCommercialMedicare AdvantageMarch 31, 2023
Pay Doctor Bill (provider payment option) - General FAQCommercialMarch 31, 2023
HEDIS 2023 Federal Employee Program medical record request requirementsCommercialMarch 31, 2023
Pharmacy information available on our provider websiteState & Federal
MedicaidMarch 31, 2023
Keep up with Medi-Cal news - April 2023- Clinical Criteria updates
- Important: Continuity of Care updates
Medicare AdvantageMarch 31, 2023
E-visitsMedicare AdvantageMarch 31, 2023
Keep up with Medicare News - April 2023- Clinical Criteria Updates
- Anthem Blue Cross expands specialty pharmacy precertification list (Imjudo, Pedmark, Tecvayli, Tzield, Vegzelma)
- Anthem Blue Cross expands specialty pharmacy precertification list (Elahere)
- New specialty pharmacy medical step therapy requirements
- Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)
- Clinical Criteria updates
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