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 Prior authorization requirement change for HCPCS code K1022 Provider notification process New specialty pharmacy medical step therapy requirements	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 Anthem Blue Cross expands specialty pharmacy precertification list Anthem Blue Cross expands specialty pharmacy precertification list New specialty pharmacy medical step therapy requirements	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 Anthem Blue Cross expands specialty pharmacy precertification list New specialty pharmacy medical step therapy requirements Anthem Blue Cross expands specialty pharmacy precertification list	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 Prior authorization required for specialty pharmacy drugs New specialty pharmacy medical step therapy requirements Medical drug benefit Clinical Criteria updates Medical Policies and Clinical Utilization Management guidelines update Quick tips to filing a complete and correct professional claim	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 Quick tips to filing a complete and correct professional claim Medical Policies and Clinical Utilization Management Guidelines update AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates Anthem Blue Cross expands specialty pharmacy precertification list	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 Medical Policies and Clinical Utilization Management Guidelines update Quick tips to filing a complete and correct professional claim Anthem Blue Cross expands specialty pharmacy precertification list Medical drug benefit Clinical Criteria updates	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 Prior authorization requirement changes — 97535 Self-care/home management training	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 Medical step therapy updates Phone number change for AIM in California	March 2022 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2022
Keep up with Cal MediConnect news - March 2022 Medical step therapy updates	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 Pharmacy services to be fee-for-service benefit Prior authorization updates for medications billed under the medical benefit	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 AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update Medical step therapy updates Anthem Blue Cross expands specialty pharmacy precertification list	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 Medical step therapy updates	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 Durable medical equipment prior authorization requirement changes effective February 1, 2021 Prior authorization requirement changes Medical drug benefit Clinical Criteria updates Managed care organization pharmacy benefits transitioning to the Medi-Cal Rx program Medical Policies and Clinical Utilization Management Guidelines update	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 Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline Medical drug benefit Clinical Criteria updates Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions New York City Medicare Advantage announcement Medical Policies and Clinical Utilization Management Guidelines update Medical Policies and Clinical Utilization Management Guidelines update	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 Medical Policies and Clinical Utilization Management Guidelines update Medical drug benefit Clinical Criteria updates	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 Anthem Blue Cross expands specialty pharmacy precertification list	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 Anthem Blue Cross expands specialty pharmacy precertification list	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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