California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Coding spotlight: Mental disorders in childhood

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

What matters most: Improving the patient experience

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Resources to support your diverse patient panel

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Infusion step therapy retraction notice

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Specialty pharmacy prior authorization retraction notice

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

February 2021 medical policies and utilization management guidelines update

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

March 2021 Medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

March 2021 Medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

DEXA bone scan criteria for the Federal Employee Program

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

Provider education program survey: Your voice counts

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Prior authorization updates for specialty pharmacy

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Keeping up with routine vaccination during COVID-19

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Aspire Health for members in need of palliative care

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Member grievance and appeals process

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Complex case management program

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Important information about utilization management

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Members’ rights and responsibilities statement

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Policy reminder: Inpatient readmissions

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Updates to the AIM advanced imaging clinical appropriateness guidelines

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Anthem Blue Cross working with Optum to collect medical records for risk adjustment

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Medical drug benefit clinical criteria updates

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Medical drug benefit clinical criteria updates

June 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2021

CG care guidelines 25th edition

June 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2021

Continuing medical education / continuing education unit opportunities

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

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

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

2020 Anthem Blue Cross population needs assessment

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

Coding spotlight: Tips and best practices for compliance

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

Educational presentations and materials for physicians and medical providers

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

Other health insurance verification

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

Member grievance and appeals process

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

Access to care standards

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

Sign up to receive email from Anthem Blue Cross

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

Anthem Blue Cross working with Optum to collect medical records for Medicare Risk Adjustment

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Helping our members

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Helping our members

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

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
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