California
Provider Communications

Articles Category: State & Federal

Title	Publication	Category	Date
Medical drug benefit Clinical Criteria updates	August 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2020
Regulatory updates	August 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2020
Submit behavioral health authorizations via our online Interactive Care Reviewer tool	August 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2020
New MCG Care Guidelines 24th edition	August 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2020
Provider data update	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
Medical drug benefit Clinical Criteria updates	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
2020 Medicare risk adjustment provider trainings	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
Submit behavioral health authorizations via our online Interactive Care Reviewer tool	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
New MCG Care Guidelines 24th edition	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
AIM Musculoskeletal program expansion	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
Medical drug benefit Clinical Criteria updates	August 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Aug 1, 2020
Submit behavioral health authorizations via our online Interactive Care Reviewer tool	August 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Aug 1, 2020
New MCG Care Guidelines 24th edition	August 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Aug 1, 2020
Updates to AIM musculoskeletal program clinical appropriateness guidelines	August 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Aug 1, 2020
Medical policies and clinical utilization management guidelines update	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
2020 affirmative statement concerning utilization management decisions	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
Medical drug benefit Clinical Criteria updates	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
Coding spotlight: Provider guide to coding for cardiovascular conditions	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
Access to care standards	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
Modifier use reminders	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
Prior authorization requirements for angiographic evaluation of stenotic or thrombosed	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Adventist Health Tulare	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Palmdale Regional	July 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2020
Medical policies and clinical utilization management guidelines update	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Transition to AIM rehabilitative services clinical appropriateness guidelines	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
2020 affirmative statement concerning utilization management decisions	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
2020 special needs plans	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Anthem Blue Cross expanded HMO network guidance	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Medical drug benefit clinical criteria updates	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Modifier use reminders	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Medical policies and clinical utilization management guidelines update	July 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2020
Medical drug benefit clinical criteria updates	July 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2020
Modifier use reminders	July 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2020
Medical policies and clinical utilization management guidelines update	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Modifier use reminders	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Acquisition of Beacon Health Options	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
MCG care guidelines: 24 Edition	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Coding spotlight: Provider’s guide to code social determinants of health	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Follow-up after hospitalization for mental illness	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Complex case management program	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Important information about utilization management	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Members’ Rights and Responsibilities Statement	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
CVS Specialty: Our designated specialty pharmacy	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Resources supporting our providers during COVID-19	June 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2020
Anthem Blue Cross (Anthem) working with Optum to collect medical records for risk adjustment	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
2020 Medicare risk adjustment provider trainings	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
Diabetes HbA1c < 8 HEDIS guidance	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
Modifier use reminders	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
MCG care guidelines: 24th Edition	June 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Jun 1, 2020
Anthem Blue Cross (Anthem) working with Optum to collect medical records for risk adjustment	June 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Jun 1, 2020
Modifier use reminders	June 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Jun 1, 2020
Updates to AIM Sleep Disorder Management clinical appropriateness guideline	June 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Jun 1, 2020
Reimbursement policy update: unlisted, unspecified or miscellaneous codes Policy 06-004, effective 08/01/20	May 2020 Anthem Blue Cross Provider News - California	Medicare	May 1, 2020
New behavioral health Medicare Advantage individual and group retiree solutions provider fax	May 2020 Anthem Blue Cross Provider News - California	Medicare	May 1, 2020
Prior authorization requirements	May 2020 Anthem Blue Cross Provider News - California	Medicare	May 1, 2020
Multi-dose packaging	May 2020 Anthem Blue Cross Provider News - California	Medicare	May 1, 2020
Reimbursement policy update: Unlisted, unspecified or miscellaneous codes Policy 06-004, effective 08/01/20	May 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	May 1, 2020
Health education and cultural & linguistics update	May 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	May 1, 2020
Tobacco cessation requirements update	May 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	May 1, 2020
Electronic stay healthy assessment tool update	May 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	May 1, 2020
Diabetes prevention program	May 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	May 1, 2020
Reimbursement policy update: Unlisted, unspecified or miscellaneous codes Policy 06-004, effective 08/01/20	May 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	May 1, 2020
HEDIS 2020 Federal Employee Program medical record request requirements	April 2020 Anthem Blue Cross Provider News - California	Federal Employee Plan (FEP)	Apr 1, 2020
New MA Opioid Treatment Program benefit	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Medical Policies and Clinical Utilization Management Guidelines update	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Prior authorization requirements: new 2020 codes for coverage and precertification	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
2020 Medicare risk adjustment provider trainings	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Medical drug benefit Clinical Criteria updates for November 2019	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Medical drug benefit Clinical Criteria updates for December 2019	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
COVID-19 Virus Talking Points	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Coding tip for psychological and neuropsychological testing	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Medical drug benefit Clinical Criteria updates for November 2019	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Medical drug benefit Clinical Criteria updates for December 2019	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Medical Policies and Clinical Utilization Management Guidelines update	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Disease Management can help you care for patients with chronic health care needs	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Multiple and bilateral surgery, professional and facility reimbursement policy update *Policy 06-010, effective 05/01/20, revised 03/01/20*	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Use of imaging studies for Low back Pain (LBP)	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
New specialty pharmacy medical injectable step therapy requirements	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
New specialty pharmacy medical step therapy requirements	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Access to care standards	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Prior authorization requirements: new 2020 codes for coverage and precertification	April 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2020
Prior authorization requirements: new 2020 codes for coverage and precertification	April 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Apr 1, 2020
Medical drug benefit clinical criteria updates for November 2019	April 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Apr 1, 2020
Medical drug benefit clinical criteria updates for December 2019	April 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Apr 1, 2020
Medical policies and clinical utilization management guidelines update	April 2020 Anthem Blue Cross Provider News - California	Cal MediConnect	Apr 1, 2020
Updated COVID-19 Medicare and Medicaid Information For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News COVID-19 and Medicare Advantage Provider News Archives.	COVID-19 Information	State & Federal	Mar 25, 2020
Benefits update for Special Supplemental Benefits for the chronically ill	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Prior authorization requirements for CardioMEMs	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
California’s Valued Trust offers a Medicare Advantage option	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Personal Home Helper benefit	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Nonpreferred products and corresponding preferred alternatives	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Reminder: Mid-level practitioners are required to file using their NPI	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Antibiotic dispensing guidelines	March 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Mar 1, 2020
Coding spotlight: HIV and AIDS	March 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Mar 1, 2020
Reminder: Mid-level practitioners are required to file using their NPI	March 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Mar 1, 2020
Bright Heart Health medication-assisted treatment program	March 2020 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Mar 1, 2020

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