CommercialFebruary 1, 2021
February 2021 Anthem Blue Cross Provider News - California
Administrative
CommercialJanuary 31, 2021
Network leasing arrangementsCommercialJanuary 31, 2021
Stay “in the know” at no charge!CommercialJanuary 31, 2021
Provider Education seminars, webinars, workshops and more!CommercialJanuary 31, 2021
Easily update provider demographics with the online Provider Maintenance FormCommercialJanuary 31, 2021
Anthem Blue Cross provider directory and provider data updatesCommercialJanuary 31, 2021
Anthem continues to offer EPO and HMO individual on and off exchange productsCommercialJanuary 31, 2021
New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup toolCommercialJanuary 31, 2021
New provider directory indicator for telehealth servicesCommercialJanuary 31, 2021
Reminder: Effective January 2021, all NECA/IBEW have new member ID numbersProducts & Programs
CommercialJanuary 31, 2021
Pharmacy information available on anthem.com/caCommercialJanuary 31, 2021
Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefitState & Federal
MedicaidJanuary 31, 2021
HEDIS Measurement year 2020: Medi-Cal summary of changes from NCQAJanuary 31, 2021
Medical drug benefit Clinical Criteria updatesJanuary 31, 2021
Medical drug benefit Clinical Criteria updates – August 2020Medicare AdvantageJanuary 31, 2021
Medical drug benefit Clinical Criteria updatesMedicare AdvantageJanuary 31, 2021
IBEW Local 234, CA moves to Medicare Advantage plan under Anthem Blue CrossMedicare AdvantageJanuary 31, 2021
PN for UM AROW Item 1330MedicaidJanuary 31, 2021
New specialty pharmacy medical step therapy requirementsMedicaidJanuary 31, 2021
Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cardsNew additional benefit detail.
MedicaidJanuary 31, 2021
Medical drug benefit Clinical Criteria updatesMedicaidJanuary 31, 2021
Radiotherapies and radioimmunotherapies will require prior authorizationMedicaidJanuary 31, 2021
Prior authorization requirements for 55899MedicaidJanuary 31, 2021
Updated quality performance requirementsMedicaidJanuary 31, 2021
Update to Clinical Practice Guidelines and Preventive Health Care GuidelinesMedicaidJanuary 31, 2021
Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326MedicaidJanuary 31, 2021
CAHPS® surveyMedicaidJanuary 31, 2021
Reimbursement Policy update – effective May 1, 2021Preadmission Services for Inpatient Stays
To view this publication online:
Or scan this QR code with your phone