CommercialDecember 1, 2022
December 2022 Anthem Blue Cross Provider News - California
Administrative
CommercialDecember 1, 2022
An overview of our medical necessity review processCommercialDecember 1, 2022
Senate Bill 245 addressing abortion, abortion related services, cost sharing and utilization management, including prior authorizationsCommercialDecember 1, 2022
CAA: Timely updates help keep our provider directories currentCommercialDecember 1, 2022
Clinical practice and preventive health guidelines available on anthem.com/caCommercialDecember 1, 2022
Members’ rights and responsibilitiesCommercialDecember 1, 2022
Member’s assessment of behavioral healthcare after-hours messaging in 2022CommercialDecember 1, 2022
Coordination of careCommercialDecember 1, 2022
Case management programCommercialDecember 1, 2022
Contract compliance with accessibility standards for Appointment Availability and Emergency Care instructions after hours careCommercialDecember 1, 2022
IngenioRx will become CarelonRx on January 1, 2023CommercialDecember 1, 2022
Signature requirements for laboratory orders or requisitionsBehavioral Health
CommercialDecember 1, 2022
Overlapping Blue Plan service areasCommercialDecember 1, 2022
BlueCard program quick tipsCommercialDecember 1, 2022
Find answers to BlueCard questionsCommercialDecember 1, 2022
Practice status: open or closedCommercialDecember 1, 2022
Does your practice offer telehealth services? Let us know!Policy Updates
CommercialDecember 1, 2022
Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviewsCommercialDecember 1, 2022
Reimbursement policy retraction: updates to professional and facility reimbursement policiesCommercialDecember 1, 2022
Reimbursement policy update: Multiple Surgery - FacilityCommercialDecember 1, 2022
Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - ProfessionalProducts & Programs
CommercialDecember 1, 2022
Pharmacy information available on the provider websiteState & Federal
MedicaidDecember 1, 2022
Update to the Pregnancy Notification FormMedicaidDecember 1, 2022
New Digital Provider Enrollment tool added to AvailityMedicaidDecember 1, 2022
Keep up with Medi-Cal news - December 2022- Medical Policies and Clinical Utilization Management Guidelines update
- Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
Medicare AdvantageDecember 1, 2022
2023 Medicare Advantage service area and benefit updatesMedicare AdvantageDecember 1, 2022
Personal home helper benefit endingMedicare AdvantageDecember 1, 2022
Keep up with Medicare news - December 2022- AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
- Medical Policies and Clinical Utilization Management Guidelines update
December 1, 2022
Cal MediConnect Plans change effective January 1, 2023December 1, 2022
Keep up with Cal MediConnect news - December 2022- Medical Policies and Clinical Utilization Management Guidelines update
- Medical drug benefit Clinical Criteria updates
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