CommercialFebruary 1, 2023

February 2023 Anthem Blue Cross Provider News - California

Administrative

AdministrativeCommercialJanuary 31, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

AdministrativeCommercialMedicare AdvantageJanuary 31, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

AdministrativeCommercialJanuary 31, 2023

Appropriate 911 emergency care procedures

AdministrativeCommercialJanuary 31, 2023

Have you reviewed your online provider directory information lately?

Digital SolutionsCommercialMedicare AdvantageMedicaidJanuary 31, 2023

Enhancing Provider News website and email communications

Products & Programs

Federal Employee Program (FEP)CommercialJanuary 31, 2023

2023 FEP benefit information available online

State & Federal

State & FederalMedicaidJanuary 31, 2023

Keep up with Medi-Cal news - February 2023
  • Prior authorization updates for medications billed under the medical benefit (Enjaymo, Kimmtrak, Tezspire, Voxzogo)
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Pluvicto, Opdualag, Alymsys, Yusimry)
  • Introducing the Provider Learning Hub

State & FederalMedicare AdvantageJanuary 31, 2023

Peralta Community College District offers Medicare Advantage option

State & FederalMedicare AdvantageJanuary 31, 2023

Anthem Blue Cross expands specialty pharmacy precertification list

State & FederalMedicare AdvantageJanuary 31, 2023

Anthem Blue Cross expands specialty pharmacy precertification list

State & FederalMedicare AdvantageJanuary 31, 2023

Specialty pharmacy precertification list expansion

State & FederalMedicare AdvantageJanuary 31, 2023

New specialty pharmacy medical step therapy requirements

State & FederalMedicare AdvantageJanuary 31, 2023

Keep up with Medicare News - February 2023
  • Introducing the Provider Learning Hub
  • Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines
  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Prior authorization requirement changes effective April 1, 2023
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023