California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Coordination of Benefits for a Federal Employee Program® member

December 2019 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Dec 1, 2019

Service area benefit changes

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

CMS reminder: expedited/urgent requests

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Group Retiree PPO program announcement

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Aspire Health for Medicare members in need of palliative care

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Prior authorization requirements for E0784, K0553 and K0554

December 2019 Anthem Blue Cross Provider News - California Medicare Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

Medical drug benefit Clinical Criteria updates

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

MMP CMS reminder: expedited/urgent requests

December 2019 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2019

Prior authorization requirements for E0784, K0553 and K0554

December 2019 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2019

MMP Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2019

Rehabilitative services prior authorization review update

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

Bill Medicare Part D for shingles or tetanus vaccination claims

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

2019 Enhanced Personal Health Care program releases myFHR

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

New reimbursement policy: Update drug screen testing

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Blue Cross Provider News - California Medicare Nov 1, 2019

Reimbursement new policy: Update drug screen testing

November 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

Medical drug clinical criteria updates – Quarter 2

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

MMP clinical criteria updates

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

Medical drug clinical criteria updates – Quarter 1

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

MMP reimbursement new policy: Update drug screen testing

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

Coming soon, electronic attachments

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Prior authorization requirements for Global March MPTAC CCRT configuration

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Clinical laboratory improvement amendments for Anthem Blue Cross

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

March 2019 medical policies and clinical utilization management guidelines update

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

June 2019 medical policies and clinical utilization management guidelines update

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Lowering health risks with no-cost statins

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Medical drug clinical criteria updates

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Assisting your patients in managing the Donut Hole

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

Prior authorization requirements for continuous positive airway pressure supplies

October 2019 Anthem Blue Cross Provider News - California Medicare Oct 1, 2019

June 2019 medical policies and clinical utilization management guidelines update

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Reimbursement policy update: Early and periodic screening, diagnostic and treatment (EPSDT)

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Regulatory updates

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Pharmacy benefit manager change to IngenioRx

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

March 2019 Medical policies and clinical utilization management guidelines update

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Coming soon: electronic attachments

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Prior authorization requirements for Global March MPTAC CCRT configuration

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

MCG Care guidelines update and customizations

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

MCG Care guidelines update and customizations

October 2019 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2019

June 2019 medical policies and clinical utilization management guidelines update

October 2019 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2019

Coming soon: electronic attachments

October 2019 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2019

Coming soon, electronic attachments

September 2019 Anthem Blue Cross Provider News - California Medicare Sep 1, 2019

Clinical criteria updates

September 2019 Anthem Blue Cross Provider News - California Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Blue Cross Provider News - California Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Blue Cross Provider News - California Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Blue Cross Provider News - California Medicare Sep 1, 2019

Prior authorization changes

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

Medical drug clinical criteria updates

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

High-Risk OB case management program

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

Reimbursement policy update, Modifier 62: Co-Surgeons

(Policy 06-010, effective 01/01/2020)
September 2019 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2019

Changes to prior authorization requirements

September 2019 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2019

Drug screen testing (Policy 19-001, effective 10/01/19)

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Special needs plans, provider training required

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Emergency department: Level of Evaluation and Management Services

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Prepayment clinical validation review process

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Update to emergency department: Level of E&M services reimbursement policy

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Unspecified diagnosis code update

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Anthem Blue Cross Provider News - California Medicare Aug 1, 2019

Pharmacy management information

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Use the Provider Maintenance Form to update your information

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Clinical criteria updates

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

New reimbursement policy: Drug screen testing

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Unspecified diagnosis code update

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

January 2019 medical policies and clinical utilization management guidelines update

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Prepayment clinical validation review process

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

New service types added to Availity

August 2019 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2019

Prepayment clinical validation review process

August 2019 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2019

Unspecified diagnosis code update

August 2019 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2019

New reimbursement policy: drug screen testing

August 2019 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Blue Cross Provider News - California Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Blue Cross Provider News - California Medicare Jul 1, 2019

Outpatient rehabilitation program transitioning to AIM

July 2019 Anthem Blue Cross Provider News - California Medicare Jul 1, 2019

LAPRA to offer Medicare Advantage from Anthem Blue Cross

July 2019 Anthem Blue Cross Provider News - California Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Blue Cross Provider News - California Medicare Jul 1, 2019

Coding spotlight: Hypertension

July 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2019

New service types added to Availity

July 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2019

Referring patients to California Smokers’ Helpline

July 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Blue Cross Provider Newsletter - California Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Blue Cross Provider Newsletter - California Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

Billing instructions of A and B codes for medical supplies

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019
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