California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

Complex case management program

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

Important information about utilization management

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

Members’ rights and responsibilities statement

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

2019 Utilization management affirmative statement concerning utilization management decisions

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

2019 Utilization management affirmative statement concerning utilization management decisions

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

Reimbursement policy update: Professional anesthesia services

Policy 06-019, effective 09/01/2019
June 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Jun 1, 2019

Partial hospitalization services

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

Submitting corrected claims

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

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
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