California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Fall prevention tips

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

Medicare Advantage reimbursement policy provider bulletin

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

New incentive program reimbursement for select CPT Category II codes

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

Prior authorization requirements for DME repair and portable oxygen concentrator

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

Update: Evaluation and management with Modifier 25

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem Blue Cross Provider Newsletter - California Medicare May 1, 2019

Clinical criteria updates

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

Electronic claim payment reconsideration

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

Latest updates to Electronic Data Interchange Gateway migration

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

Medical records request for risk adjustment

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

Update: Evaluation and management with Modifier 25

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

MMP Prior authorization requirements for DME repair and portable oxygen concentrator

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Blue Cross Provider Newsletter - California Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Blue Cross Provider Newsletter - California Medicare Apr 1, 2019

Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees

April 2019 Anthem Blue Cross Provider Newsletter - California Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Blue Cross Provider Newsletter - California Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Blue Cross Provider Newsletter - California Medicare Apr 1, 2019

Reimbursement policy update, Modifier 22: Increased procedural service

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

November 2018 Medical Policies and Clinical Utilization Management Guidelines update

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Provider surveys

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Diabetes prevention program

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Tobacco cessation requirements for Medi-Cal Managed Care (Medi-Cal) providers

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Medical necessity review for appropriate level of care

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Appointment access standards

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Regulatory updates

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Clinical Criteria updates

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Nicotine replacement products

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Health education classes and Language assistance programs

April 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Apr 1, 2019

Dual Eligible Special Needs Plans – provider training required

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

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

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Blue Cross Provider Newsletter - California Medicare Mar 1, 2019

Policy update: Maternity services

March 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Mar 1, 2019

Update: evaluation and management with Modifier 25

March 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Mar 1, 2019

Coding Spotlight: Cancer A provider’s guide to properly code cancers

March 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Mar 1, 2019

Alcohol misuse screening and counseling in primary care

March 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Mar 1, 2019

Requirements for using the Staying Healthy Assessment tool in an electronic format

March 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Mar 1, 2019

Access patient-specific drug benefit information through electronic medical records

March 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Mar 1, 2019

Neonatal intensive care unit post-traumatic stress disorder program

March 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Mar 1, 2019

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
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