California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

HEDIS 2019 Federal Employee Program medical record request requirements

February 2019 Anthem Blue Cross Provider Newsletter - California Federal Employee Plan (FEP) Feb 1, 2019

Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option

February 2019 Anthem Blue Cross Provider Newsletter - California Medicare Feb 1, 2019

Reminder: Anthem follows original Medicare policies

February 2019 Anthem Blue Cross Provider Newsletter - California Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Blue Cross Provider Newsletter - California Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Blue Cross Provider Newsletter - California Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Blue Cross Provider Newsletter - California Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Blue Cross Provider Newsletter - California Medicare Feb 1, 2019

Coding spotlight: Diabetes

February 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Feb 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Feb 1, 2019

Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option

January 18, 2019: Anthem Blue Cross eUPDATE - California Medicare Jan 17, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Blue Cross Provider Newsletter - California Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Blue Cross Provider Newsletter - California Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Blue Cross Provider Newsletter - California Medicare Jan 1, 2019

Preferred Community Health Partners care management integration

January 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jan 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

January 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jan 1, 2019

My Diverse Patients: A website to support your diverse patients

January 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jan 1, 2019

Anthem Blue Cross now offering telehealth to Medicaid members

January 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jan 1, 2019

Coordination of benefits for an Federal Employee Plan member

December 2018 Anthem Blue Cross Provider Newsletter - California Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Anthem Blue Cross Provider Newsletter - California Federal Employee Plan (FEP) Dec 1, 2018

2019 FEP Benefit information available online

December 2018 Anthem Blue Cross Provider Newsletter - California Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

CMS Medicare Preclusion list effective April 1, 2019

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

Los Angeles Unified School District offers Medicare Advantage option

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Blue Cross Provider Newsletter - California Medicare Dec 1, 2018

Quarterly pharmacy formulary change

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Claims requiring additional documentation

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Coding spotlight: Substance use disorders and smoking

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Prior authorization requirements for subcutaneous implantable defibrillator system

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Need up to date pharmacy information?

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Updated prior authorization form for providers

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Electronic data interchange gateway update

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Claims requiring additional documentation

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Short and long acting narcotics regulatory changes and limits to days’ supplies

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Prior authorization requirements for Part B drug Nivestym

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Electronic data interchange gateway update

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

MediConnect Plan network update

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Blue Cross Provider Newsletter - California Medicare Oct 1, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Blue Cross Provider Newsletter - California Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Blue Cross Provider Newsletter - California Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Blue Cross Provider Newsletter - California Medicare Oct 1, 2018

CalPERS Medicare Advantage plan members to receive new ID cards

October 2018 Anthem Blue Cross Provider Newsletter - California Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Anthem Blue Cross Provider Newsletter - California Medicare Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Vaginal birth after cesarean shared decision-making aid available

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Streamline workflow with solicited medical attachments

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Anthem Blue Cross opiod addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Prior authorization requirements for Interferon beta-1a

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Prior authorization requirements for Somatrem

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Regulatory updates

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

EDI Gateway migration

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

New pharmacy prior authorization fax number and new Provider Services phone number

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

New pharmacy electronic prior authorization request tool effective November 4, 2018

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Prior authorization requirements for Part B drugs: Retacrit (epoetin alfa-epbx), Damoctocog and llumya (tildrakizumab)

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Inpatient readmissions reimbursement policy update

October 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Oct 1, 2018

Short and long acting narcotics regulatory changes and limits to days’ supplies

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Prior authorization requirments for Part B drugs: Moxetumomab Pasudotox, Cemiplimab and Fulphila (pegfilgrastim-jmbd)

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Mailing address for Federal Employee Program: Paper claims and claims related correspondence

August 2018 Anthem Blue Cross Provider Newsletter - California Federal Employee Plan (FEP) Aug 16, 2018

Prior authorization requirements for Cabazitaxel (Jevtana

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Prior authorization requirement for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Anthem Blue Cross adopts 22nd edition of the MCG care guidelines

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Regulatory updates

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Important information about utilization management

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Member rights and responsibilities statement

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Coding spotlight: Obesity

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Electronic data interchange migration to Availity

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Reimbursement policy update; Medical recalls, policy 06-111 – effective November 1, 2018

August 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Aug 16, 2018

Prior authorization requirements for Azedra (iobenguane l 131) and Poteligeo (mogamulizumab)

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018

Electronic data interchange migration to Availity

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018

Reimbursement policy update; Medical recalls, policy 06-111 – effective November 1, 2018

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018

MA members receive incentives for completing screenings

August 2018 Anthem Blue Cross Provider Newsletter - California Medicare Aug 16, 2018

DME providers and physicians: important wheelchair prior authorization information

August 2018 Anthem Blue Cross Provider Newsletter - California Medicare Aug 16, 2018

Submit PA medication requests electronically; new phone number for MA prescription PAs

August 2018 Anthem Blue Cross Provider Newsletter - California Medicare Aug 16, 2018

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019

August 2018 Anthem Blue Cross Provider Newsletter - California Medicare Aug 16, 2018

Keep up with Medicare news

August 2018 Anthem Blue Cross Provider Newsletter - California Medicare Aug 16, 2018
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