California
Provider Communications

Articles Category: State & Federal

Title	Publication	Category	Date
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
Keep up with Cal MediConnect news October 2021 May 2021 Medical Policies and Utilization Management Guidelines update 2021 affirmative statement concerning utilization management decisions	October 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Oct 1, 2021
Diabetes testing and screening HEDIS measures	October 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2021
New policy: Sexually transmitted infections testing, effective January 1, 2022 - professional	October 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2021
Get your payments faster when you sign up for electronic funds transfer	October 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2021
Keep up with Medi-Cal news – October 2021 2021 affirmative statement concerning utilization management decisions May 2021 Medical Policies and Utilization Management Guidelines update	October 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2021
Information about 2021 special needs plans	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
New policy: Sexually transmitted infections testing, effective January 2022 - professional	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
HEDIS® medical record submission made easier with our remote EMR access service	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
New medical step therapy requirements	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
Get your payments faster when you sign up for electronic funds transfer	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
Keep up with Medicare news – October 2021 May 2021 Medical Policies and Utilization Management Guidelines update 2021 affirmative statement concerning utilization management decisions	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
New policy: Sexually transmitted infections testing, effective January 2022 - professional	October 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Oct 1, 2021
Benefit plan updates, effective January 1, 2022	September 2021 Anthem Blue Cross Provider News - California	CalPERS	Sep 1, 2021
Keep up with Medi-Cal news - September 2021 Prior authorization requirement changes effective October 1, 2021 - UM AROW 1576 Clinical criteria updates notification May 2021	September 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Sep 1, 2021
Reimbursement policy update: DRG inpatient facility transfers	September 2021 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2021
Utilization management authorization rule operations	September 2021 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2021
Prior authorization form notification	September 2021 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2021
Keep up with Medicare news - September 2021 Medicare Advantage clinical criteria updates notification May 2021	September 2021 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2021
Prior authorization form notification	September 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Sep 1, 2021
Keep up with Cal MediConnect news - September 2021 MMP clinical criteria updates notification May 2021	September 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Sep 1, 2021
Preventing claims denials: Shingles vaccine Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
Infliximab Step Therapy – effective July 15, 2021	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
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

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