California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Expedited grievances

May 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

May 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2022

Keep up with Medi-Cal news – May 2022

May 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

New Strategic Provider System implementation May 2022

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

HEDIS 2022: Summary of changes from NCQA

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

Southern California Drug Benefit Fund moves to the Anthem Blue Cross Medicare Advantage plan

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

Keep up with Medicare news – May 2022

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Blue Cross Provider News - California Cal MediConnect May 1, 2022

Keep up with Cal MediConnect news - May 2022

May 2022 Anthem Blue Cross Provider News - California Cal MediConnect May 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO Providers

April 2022 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

Reimbursement policy update: Inpatient Readmissions

Policy G-13001, effective 07/01/22
April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

Disease management/population health program

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

FDA warns about dental problems with buprenorphine medicines

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

Clinical criteria updates

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

Postpartum coverage expansion

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

Keep up with Medi-Cal news – April 2022

April 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Reimbursement policy update: Inpatient Readmissions

Policy G-13001, effective 07/01/22

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Clinical criteria updates

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Keep up with Medicare news – April 2022

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2022

Reimbursement policy update: Inpatient Readmissions

Policy G-13001, effective 07/01/22

April 2022 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2022

Clinical criteria updates

April 2022 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2022

Keep up with Cal MediConnect news - April 2022

April 2022 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2022

Benefit change for CalPERS PPO Members: Important updates on certain medications‐ bevacizumab (Avastin), epoetin alfa (Epogen and Procrit), filgrastim (Neupogen), pegfilgrastim (Neulasta), rituximab (Rituxan), and trastuzumab (Herceptin)

March 2022 Anthem Blue Cross Provider News - California CalPERS Mar 1, 2022

Change to the Federal Employee Program® Clinical Grievance and Appeal address

March 2022 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Mar 1, 2022

It is CAHPs survey time!

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Clinical utilization management guidelines update

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Urinary tract infection toolkits are on the way

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Keep up with Medi-Cal news – March 2022

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Pharmacy updates

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Teamsters Retiree Trust offers Medicare Advantage option

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

New Strategic Provider System will launch in April 2022

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Keep up with Medicare news – March 2022

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Keep up with Cal MediConnect news - March 2022

March 2022 Anthem Blue Cross Provider News - California Cal MediConnect Mar 1, 2022

Get faster payments with EFT

February 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2022

Keep up with Medi-Cal news – February 2022

Prior authorization updates for medications billed under the medical benefit.
February 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Blue Cross Provider News - California Medicare Feb 1, 2022

Keep up with Medicare news – February 2022

NYC Medicare Advantage Plus update.
February 2022 Anthem Blue Cross Provider News - California Medicare Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Blue Cross Provider News - California Cal MediConnect Feb 1, 2022

Reminder: Pharmacy benefit change for CalPERS PPO members, effective January 2022

January 2022 Anthem Blue Cross Provider News - California CalPERS Jan 1, 2022

2022 Federal Employee Plan® benefit information available online

January 2022 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Jan 1, 2022

Botox® update for Anthem Blue Cross members

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2022

2021 CAHPS Survey results

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2022

Keep up with Medi-Cal news – January 2022

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Los Angeles City Employees’ Retirement System adds the medical and prescription drug plan

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Northern California Cement Masons, California moves to Medicare Advantage plan

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Professional claims – billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Keep up with Medicare news – January 2022

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross

January 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2022

Anthem Blue Cross expands specialty pharmacy precertification list

January 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2022

Keep up with Cal MediConnect news - January 2022

January 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2022

Benefit plan updates effective January 1, 2022

December 2021 Anthem Blue Cross Provider News - California CalPERS Dec 1, 2021

Provider Notification of Benefit Change for CalPERS PPO Members‐ bevacizumab (Avastin), epoetin alfa (Epogen and Procrit), filgrastim (Neupogen), pegfilgrastim (Neulasta), rituximab (Rituxan), and trastuzumab (Herceptin)

December 2021 Anthem Blue Cross Provider News - California CalPERS Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Policy update: Drug screen testing

Policy update: Drug screen testing, effective March 1, 2022

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Keep up with Medi-Cal news – December 2021

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Policy update: Drug screen testing

Policy update: Drug screen testing, effective March 1, 2022

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced imaging clinical appropriateness guidelines

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

2022 Medicare Advantage services area and benefit updates

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Keep up with Medicare news – December 2021

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Policy update: Drug screen testing

Policy update: Drug screen testing, effective March 1, 2022

December 2021 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2021

Keep up with Cal MediConnect news - December 2021

December 2021 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2021

Discharges against medical advice

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

4 things you can do to encourage cancer screenings for your women patients

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Unspecified diagnosis reminder

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Pharmacy services to be fee-for-service benefit

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Anthem Blue Cross offering Advance Medical Directives program for 2022

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Anthem Blue Cross Medicare Advantage FFS HMO network guidance

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Keep up with Medicare news – November 2021

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Claims editing update for ICD-10-CME Excludes 1 notes

November 2021 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2021

Keep up with Cal MediConnect news November 2021

November 2021 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

New specialty pharmacy medical step therapy requirements

October 2021 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2021
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