California
Provider Communications

Articles Category: Policy Updates

Title	Publication	Category	Date
Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews	December 2022 Anthem Blue Cross Provider News - California	Policy Updates	Dec 1, 2022
Reimbursement policy retraction: updates to professional and facility reimbursement policies	December 2022 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2022
Reimbursement policy update: Multiple Surgery - Facility	December 2022 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2022
Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional	December 2022 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2022
Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline	November 2022 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Nov 1, 2022
Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022	July 2022 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Jul 1, 2022
Retraction for reimbursement policy – Sexually Transmitted Infections - professional	July 2022 Anthem Blue Cross Provider News - California	Reimbursement Policies	Jul 1, 2022
Updated preventive care guidance regarding screening colonoscopies	March 2022 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Mar 1, 2022
CLARIFICATION to reimbursement policy updates: Virtual visits – professional and facility	January 2022 Anthem Blue Cross Provider News - California	Reimbursement Policies	Jan 1, 2022
RETRACTION: Inpatient Facility Transfers – reimbursement policy (facility)	December 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2021
Reimbursement policy update: Virtual Visits - professional and facility	December 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2021
Reimbursement policy clarification: Claims Requiring Additional Documentation - facility	October 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	Oct 1, 2021
Reimbursement policy update: Claims requiring additional documentation (facility)	August 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	Aug 1, 2021
Anthem Blue Cross to enhance claim edits for outpatient facility claims	June 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	Jun 1, 2021
Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline	May 2021 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	May 1, 2021
Facility reimbursement policy reminder: Readmission	May 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	May 1, 2021
Reimbursement policy update: Claims Requiring Additional Documentation (facility)	May 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	May 1, 2021
Professional reimbursement policy update: Frequency Editing	May 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	May 1, 2021
Important coding update for the AIM sleep program	April 2021 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Apr 1, 2021
Clinical guidelines CG-Lab-11	April 2021 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Apr 1, 2021
Maximizing efficient, high quality COVID-19 screenings	April 2021 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Apr 1, 2021
Update: Notice of changes to the AIM Small Joint Surgery Guideline	March 2021 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Mar 1, 2021
Claims editing update for ICD-10-CM Excludes 1 notes	March 2021 Anthem Blue Cross Provider News - California	Reimbursement Policies	Mar 1, 2021
Changes to reimbursement for ambulatory surgery centers	December 2020 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2020
Reminder: Professional reimbursement policies updates, effective January 1, 2021	December 2020 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2020
Professional reimbursement policy update: Bundled services and supplies	December 2020 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2020
Anthem Blue Cross expands hospice policy	December 2020 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2020
Clinical practice and preventive health guidelines available on anthem.com/ca	December 2020 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2020
Coordination of care	December 2020 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2020
Case management program	December 2020 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2020
Reimbursement policy update: Claims requiring additional documentation policy (facility)	October 2020 Anthem Blue Cross Provider News - California	Reimbursement Policies	Oct 1, 2020
Medical record standards	August 2020 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Aug 1, 2020
Facility Reimbursement Policy Update – claims requiring additional documentation	August 2020 Anthem Blue Cross Provider News - California	Reimbursement Policies	Aug 1, 2020
New MCG 24th Edition Guidelines	July 2020 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Jul 1, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines	June 2020 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Jun 1, 2020
Reminder about System Update	May 2020 Anthem Blue Cross Provider News - California	Reimbursement Policies	May 1, 2020
Updates to AIM Musculoskeletal Program Joint Surgery Clinical Approrpriateness Guidelines	May 2020 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	May 1, 2020
Important coding reminder for Walk-in-Retail health clinics	March 2020 Anthem Blue Cross Provider News - California	Reimbursement Policies	Mar 1, 2020
Modifier use reminders	March 2020 Anthem Blue Cross Provider News - California	Reimbursement Policies	Mar 1, 2020
New Professional Reimbursement Policies - Durable Medical Equipment: Rent to purchase and Durable Medical Equipment Modifiers	December 2019 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2019
System updates for 2020 - Professional	December 2019 Anthem Blue Cross Provider News - California	Reimbursement Policies	Dec 1, 2019
An overview of our medical necessity review process	December 2019 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2019
Case Management Program	December 2019 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2019
Clinical Practice and Preventive Health Guidelines available on anthem.com/ca	December 2019 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2019
Coordination of Care	December 2019 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2019
Appropriate 911/Emergency care procedures	December 2019 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Dec 1, 2019
New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019	September 2019 Anthem Blue Cross Provider News - California	Medical Policy & Clinical Guidelines	Sep 1, 2019
UPDATE: new Rehabilitative Program remains temporarily delayed	July UPDATE: new Rehabilitative Program remains temporarily delayed	Medical Policy & Clinical Guidelines	Jul 16, 2019
UPDATE: New Rehabilitative Program now effective August 1, 2019	July UPDATE: New Rehabilitative Program Now Effective August 1, 2019 – California	Medical Policy & Clinical Guidelines	Jul 3, 2019
Clinical practice and preventive health guidelines available online	June 2019 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Jun 1, 2019
Update: Sepsis coding	June 2019 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Jun 1, 2019
Clinical practice and preventive health guidelines available online	May 2019 Anthem Blue Cross Provider Newsletter - California	Policy Updates	May 1, 2019
Clinical practice and preventive health guidelines available online	April 2019 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Apr 1, 2019
Update: New prior authorization for Physical, Occupational and Speech Therapy Services will begin May 1, 2019	April 2019 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Apr 1, 2019
Treatment guidelines for Medical Treatment Utilization Schedule update, effective April 18, 2019	April 2019 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Apr 1, 2019
Clinical practice and preventive health guidelines available online	March 2019 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Mar 1, 2019
Clinical practice and preventive health guidelines available online	February 2019 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Feb 1, 2019
Clinical UM guideline updates	February 2019 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Feb 1, 2019
Clinical practice and preventive health guidelines available online	January 2019 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Jan 1, 2019
HEDIS 2019 starts early February	January 2019 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Jan 1, 2019
HEDIS 2018: Commercial results are in	December 2018 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Dec 1, 2018
Restructure of AIM advanced imaging clinical appropriateness guidelines	December 2018 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Dec 1, 2018
Update to AIM clinical appropriateness guidelines	December 2018 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Dec 1, 2018
Important reminder: Professional reimbursement policy update Scope of License	December 2018 Anthem Blue Cross Provider Newsletter - California	Reimbursement Policies	Dec 1, 2018
Anthem works to help ensure appropriate billing of E&M services	December 2018 Anthem Blue Cross Provider Newsletter - California	Reimbursement Policies	Dec 1, 2018
Clinical practice and preventive health guidelines available online	December 2018 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Dec 1, 2018
Members’ rights and responsibilities	December 2018 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Dec 1, 2018
Vaginal birth after cesarean certified shared decision making aid available on the web	December 2018 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Dec 1, 2018
An overview of our medical necessity review process	December 2018 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Dec 1, 2018
Clinical practice and preventive health guidelines available online	October 2018 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Oct 1, 2018
Delay in launch of prior authorization for Lutathera until November 1, 2018	August 2018 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Aug 16, 2018
Anthem Blue Cross’ new Musculoskeletal Program to implement August 15, 2018	August 2018 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Aug 16, 2018
Clinical practice and preventive health guidelines available online	August 2018 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Aug 16, 2018
Vaginal birth after cesarean (VBAC) aid available on the web	August 2018 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Aug 16, 2018
Additional support available for members with rare conditions	August 2018 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Aug 16, 2018

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