California
Provider Communications

Articles Category: State & Federal

Title	Publication	Category	Date
Members’ Rights and Responsibilities section	October 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2022
Reimbursement Policy RETRACTION: Sexually transmitted infections testing – professional Policy 21-001, effective 01/01/2022	October 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2022
Monkeypox resources and recommendations for our care providers	October 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2022
New specialty pharmacy medical step therapy requirements	October 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2022
Keep up with Medi-Cal news – October 2022 Prior authorization updates for medications billed under the medical benefit for Tivdak, Saphnelo, Ryplazim	October 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Oct 1, 2022
Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ	October 2022 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2022
Courtesy notification of specialty pharmacy medical step therapy updates	October 2022 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2022
Reimbursement Policy RETRACTION: Sexually transmitted infections testing – professional Policy 21-001, effective 01/01/2022	October 2022 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2022
Keep up with Medicare news – October 2022 Medicare Part B Precert Expansion Alymsys Medicare Part B Precert Expansion Amvuttra Xipere Consultation Codes	October 2022 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2022
Courtesy notification of specialty pharmacy medical step therapy updates	October 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Oct 1, 2022
Reimbursement Policy RETRACTION: Sexually transmitted infections testing – professional Policy 21-001, effective 01/01/2022	October 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Oct 1, 2022
Keep up with Cal MediConnect news - October 2022 Medicare Part B Precert Expansion Alymsys Medicare Part B Precert Expansion Amvuttra Xipere	October 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Oct 1, 2022
Alcohol use disorders linked to chronic diseases	September 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Sep 1, 2022
Reimbursement policy update – Modifiers 25 and 57: Evaluation and Management with Global Procedures Policy G- 06003 Informational Only	September 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Sep 1, 2022
Complex Case Management program	September 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Sep 1, 2022
Enhancing claims attachment processes through digital applications	September 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Sep 1, 2022
Prior authorization updates for medications billed under the medical benefit	September 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Sep 1, 2022
New specialty pharmacy medical step therapy requirements	September 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Sep 1, 2022
Keep up with Medi-Cal news – September 2022 Clinical criteria update Access to care standards	September 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Sep 1, 2022
Reimbursement policy update – Modifiers 25 and 57: Evaluation and Management with Global Procedures Policy G- 06003 Informational Only	September 2022 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2022
Reminder: AIM Prior authorization phone number change for Medicare	September 2022 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2022
Enhancing claims attachment processes through digital applications	September 2022 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2022
Anthem Blue Cross Expands Specialty Pharmacy Precertification list	September 2022 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2022
Keep up with Medicare news – September 2022 Clinical Criteria Updates Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ Anthem Blue Cross expands specialty pharmacy precertification list	September 2022 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2022
Prior authorization requirement changes effective date December 1, 2022	September 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Sep 1, 2022
Reimbursement policy update – Modifiers 25 and 57: Evaluation and Management with Global Procedures Policy G-06003 Informational only	September 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Sep 1, 2022
Anthem Blue Cross Expands Specialty Pharmacy Precertification list	September 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Sep 1, 2022
Keep up with Cal MediConnect news - September 2022 Anthem Blue Cross expands specialty pharmacy precertification list Clinical Criteria Updates	September 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Sep 1, 2022
HEDIS 2022: Summary of changes from NCQA	August 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2022
Chlamydia screening	August 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2022
Using SBIRT to address opioid and substance use disorders	August 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2022
Updated quality performance requirements	August 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2022
The cost of alcohol use disorder	August 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2022
Prior authorization requirement changes updated effective date November 1, 2022	August 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Aug 1, 2022
Prior authorization requirement changes effective August 1, 2022	July 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2022
MCG care guidelines 26th edition	July 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2022
Medical Policies and Clinical Utilization Management Guidelines update	July 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2022
Keep up with Medi-Cal news – July 2022 What is an e-Consult? Prior authorization updates for medications billed under the medical benefit	July 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2022
Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services	July 2022 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2022
MCG care guidelines 26th edition	July 2022 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2022
Cancer Care Navigator	July 2022 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2022
Keep up with Medicare news – July 2022 New specialty pharmacy medical step therapy requirements	July 2022 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2022
MCG care guidelines 26th edition	July 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2022
Medical Policies and Clinical Utilization Management Guidelines update	July 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2022
Keep up with Cal MediConnect news - July 2022 New specialty pharmacy medical step therapy requirements New specialty pharmacy medical step therapy requirements	July 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2022
Medical drug benefit Clinical Criteria updates	June 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2022
Network adequacy – subcontractor expectations	June 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2022
Keep up with Medi-Cal news – June 2022 Prior authorization updates for medications billed under the medical benefit Provider notification process Provider coding education: Webinars and on-demand trainings are now available!	June 2022 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jun 1, 2022
Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines	June 2022 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2022
Authorizations for post-acute care services for PPO Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members	June 2022 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2022
Medical drug benefit Clinical Criteria updates	June 2022 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2022
Medical policies and clinical utilization Management guidelines update	June 2022 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2022
Provider notice for COVID-19 testing	June 2022 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2022
Keep up with Medicare news – June 2022 Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines New specialty pharmacy medical step therapy requirements Anthem Blue Cross expands specialty pharmacy precertification list	June 2022 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2022
Keep up with Cal MediConnect news - June 2022 New specialty pharmacy medical step therapy requirements Medical drug benefit Clinical Criteria updates Anthem Blue Cross expands specialty pharmacy precertification list	June 2022 Anthem Blue Cross Provider News - California	Cal MediConnect	Jun 1, 2022
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

Page 1 of 8

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use.