CommercialNovember 1, 2019

November 2019 Anthem Blue Cross Provider News - California

Administrative

AdministrativeCommercialNovember 1, 2019

California Fires

AdministrativeCommercialNovember 1, 2019

Reminder: Changes to timely filing requirements

AdministrativeCommercialNovember 1, 2019

Network leasing arrangements

AdministrativeCommercialNovember 1, 2019

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AdministrativeCommercialNovember 1, 2019

Anthem Blue Cross provider directory and provider data updates

AdministrativeCommercialNovember 1, 2019

Provider Education seminars, webinars, workshops and more!

AdministrativeCommercialNovember 1, 2019

Contracted provider claim escalation process

AdministrativeCommercialNovember 1, 2019

Additional improvements coming to anthem.com/ca

Products & Programs

PharmacyCommercialNovember 1, 2019

Remaining members transition to IngenioRx on January 1, 2020

State & Federal

State & FederalMedicare AdvantageNovember 1, 2019

Bill Medicare Part D for shingles or tetanus vaccination claims

State & FederalMMP (Medicare-Medicaid Plan)November 1, 2019

MMP reimbursement new policy: Update drug screen testing

State & FederalMMP (Medicare-Medicaid Plan)November 1, 2019

Medical drug clinical criteria updates – Quarter 1

State & FederalMMP (Medicare-Medicaid Plan)November 1, 2019

MMP clinical criteria updates

State & FederalMMP (Medicare-Medicaid Plan)November 1, 2019

Medical drug clinical criteria updates – Quarter 2

State & FederalMMP (Medicare-Medicaid Plan)November 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

State & FederalMedicaidNovember 1, 2019

Reimbursement new policy: Update drug screen testing

State & FederalMedicare AdvantageNovember 1, 2019

New reimbursement policy: Update drug screen testing

State & FederalMedicare AdvantageNovember 1, 2019

2019 Enhanced Personal Health Care program releases myFHR

State & FederalMedicare AdvantageNovember 1, 2019

CMS reminder: expedited/urgent requests

State & FederalMedicare AdvantageNovember 1, 2019

Rehabilitative services prior authorization review update