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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