California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Clinical criteria updates notification November 2020

April 2021 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Apr 1, 2021

Prior authorization for specialty pharmacy

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

November 2020 medical policies and utilization management guidelines update

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Clinical criteria updates notification November 2020

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

There is something new happening at Anthem Blue Cross

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Iron infusion medical step therapy notice

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Clinical criteria updates notification December 2020

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

April – Defeat diabetes month

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Health education classes

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Diabetes prevention program

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

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

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Tobacco cessation requirements for Medi-Cal Managed Care providers

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

In-office assessment

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Clinical Criteria updates notification November 2020

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Clinical Criteria updates notification December 2020

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2021

Clinical criteria updates notification December 2020

April 2021 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2021

Prior authorization required for specialty pharmacy drugs

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2021

March – Child life month

March 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Blue Cross Provider News - California Medicare Mar 1, 2021

DME checklist of information needed from providers

March 2021 Anthem Blue Cross Provider News - California Medicare Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Anthem Blue Cross Provider News - California Medicare Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Blue Cross Provider News - California Medicare Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Anthem Blue Cross Provider News - California Cal MediConnect Mar 1, 2021

Medical policies and clinical utilization management guidelines update

March 2021 Anthem Blue Cross Provider News - California Cal MediConnect Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Blue Cross Provider News - California Cal MediConnect Mar 1, 2021

Reimbursement Policy update – effective May 1, 2021

Preadmission Services for Inpatient Stays

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

CAHPS® survey

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

HEDIS Measurement year 2020: Medi-Cal summary of changes from NCQA

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

Update to Clinical Practice Guidelines and Preventive Health Care Guidelines

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

Updated quality performance requirements

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

Prior authorization requirements for 55899

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

Radiotherapies and radioimmunotherapies will require prior authorization

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

New additional benefit detail.

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

New specialty pharmacy medical step therapy requirements

February 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2021

PN for UM AROW Item 1330

February 2021 Anthem Blue Cross Provider News - California Medicare Feb 1, 2021

IBEW Local 234, CA moves to Medicare Advantage plan under Anthem Blue Cross

February 2021 Anthem Blue Cross Provider News - California Medicare Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Blue Cross Provider News - California Medicare Feb 1, 2021

Medical drug benefit Clinical Criteria updates – August 2020

February 2021 Anthem Blue Cross Provider News - California Cal MediConnect Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Blue Cross Provider News - California Cal MediConnect Feb 1, 2021

2021 FEP® Benefit information available online

January 2021 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Jan 1, 2021

CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

New specialty pharmacy medical step therapy requirements

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

August 2020 Medical Policies and Utilization Management Guidelines update

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

Coding spotlight: HEDIS MY 2021

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

Disease Management/Population health program

January 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2021

CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Policy update – emergency department: Leveling of Evaluation and Management services

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

SNF admission reporting requirements for D-SNP plans

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Policy update – Nurse Practitioner and Physician Assistant Services, Professional

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Radiation

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

United Food and Commercial Workers Unions offers Medicare Advantage option

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

The University of the Pacific offers Medicare Advantage option

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Intel Corporation in California moves to Medicare Advantage plan from Anthem Blue Cross

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Inland Empire International Brotherhood of Electrical Workers – National Electrical Contractors Association health plan in California moves to a Medicare Advantage plan from Anthem Blue Cross

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Los Angeles County Office of Education moves to Anthem Blue Cross Medicare Advantage plan

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021

January 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2021

August 2020 MMP Medical Policies and Utilization Management Guidelines update

January 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2021

Digital transactions cut administrative tasks in half

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Reimbursement policy update: Split-care surgical modifiers

Policy 11-005, effective 03/01/21
December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

CAHPS education for providers

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Notifications on the Availity Portal

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Transition to AIM Small Joint guidelines

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Anti-VEGF Medical Step Therapy notice

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Resources to support your pregnant and postpartum patients and their families

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Clinical laboratory improvement amendments number – additional information

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Sign up to receive email from Anthem Blue Cross

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Blue Cross Provider News - California Medicare Dec 1, 2020

Medicare Advantage group retiree member eligibility, Alpha Prefix FAQ

December 2020 Anthem Blue Cross Provider News - California Medicare Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Blue Cross Provider News - California Medicare Dec 1, 2020

Transition to AIM Small Joint guidelines

December 2020 Anthem Blue Cross Provider News - California Medicare Dec 1, 2020

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2020

Transition to AIM Small Joint guidelines

December 2020 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2020

Help prevent pre-eclampsia with prenatal aspirin

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Provider Chat – a fast, easy way to get your questions answered

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

New specialty pharmacy medical step therapy requirements

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Reimbursement Policy update: Nurse practitioner and physician assistant services, professional

Policy 20-002, effective 04/24/20

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Coding spotlight: Tips and best practices for compliance

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

New specialty pharmacy medical step therapy requirements

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

November 26 is National Family Health History Day

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Prior authorization requirements for the below codes

November 2020 Anthem Blue Cross Provider News - California Medicare Nov 1, 2020

AIM Musculoskeletal program expansion update

November 2020 Anthem Blue Cross Provider News - California Medicare Nov 1, 2020

Preferred continuous glucose monitors

November 2020 Anthem Blue Cross Provider News - California Medicare Nov 1, 2020
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