California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Prior authorization requirements for E0482

October 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2020

Coding spotlight: Providers guide to coding for behavioral health disorders

October 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2020

Prior authorization requirements for the below codes

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

Evaluation and management services correct coding

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

In-office assessment program

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

May 2020 medical policies and clinical utilization management guidelines update

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

Prior authorization requirements for the below codes

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

October 2020 Anthem Blue Cross Provider News - California Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2020

What matters most online training course: Improving patient experience

September 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2020

Medical policies and clinical utilization management guidelines update

September 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Blue Cross Provider News - California Medicare Sep 1, 2020

Transition to AIM Specialty Health rehabilitative services clinical appropriateness guidelines

September 2020 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2020

Regulatory updates

August 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2020

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

August 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2020

Provider data update

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

AIM Musculoskeletal program expansion

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM

August 2020 Anthem Blue Cross Provider News - California Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2020

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

August 2020 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2020

Updates to AIM musculoskeletal program clinical appropriateness guidelines

August 2020 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2020

Medical policies and clinical utilization management guidelines update

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Access to care standards

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Modifier use reminders

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Prior authorization requirements for angiographic evaluation of stenotic or thrombosed

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Adventist Health Tulare

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Palmdale Regional

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Medical policies and clinical utilization management guidelines update

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

Transition to AIM rehabilitative services clinical appropriateness guidelines

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

2020 special needs plans

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

Anthem Blue Cross expanded HMO network guidance

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

Medical drug benefit clinical criteria updates

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

Modifier use reminders

July 2020 Anthem Blue Cross Provider News - California Medicare Jul 1, 2020

Medical policies and clinical utilization management guidelines update

July 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2020

Medical drug benefit clinical criteria updates

July 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2020

Modifier use reminders

July 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2020

Medical policies and clinical utilization management guidelines update

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Modifier use reminders

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Acquisition of Beacon Health Options

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

MCG care guidelines: 24 Edition

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Coding spotlight: Provider’s guide to code social determinants of health

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Follow-up after hospitalization for mental illness

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Complex case management program

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Important information about utilization management

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Members’ Rights and Responsibilities Statement

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

CVS Specialty: Our designated specialty pharmacy

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Resources supporting our providers during COVID-19

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

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

June 2020 Anthem Blue Cross Provider News - California Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Blue Cross Provider News - California Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Blue Cross Provider News - California Medicare Jun 1, 2020

Modifier use reminders

June 2020 Anthem Blue Cross Provider News - California Medicare Jun 1, 2020

MCG care guidelines: 24th Edition

June 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2020

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

June 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2020

Modifier use reminders

June 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2020

Updates to AIM Sleep Disorder Management clinical appropriateness guideline

June 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2020

Reimbursement policy update: unlisted, unspecified or miscellaneous codes

Policy 06-004, effective 08/01/20
May 2020 Anthem Blue Cross Provider News - California Medicare May 1, 2020

New behavioral health Medicare Advantage individual and group retiree solutions provider fax

May 2020 Anthem Blue Cross Provider News - California Medicare May 1, 2020

Prior authorization requirements

May 2020 Anthem Blue Cross Provider News - California Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Blue Cross Provider News - California Medicare May 1, 2020

Reimbursement policy update: Unlisted, unspecified or miscellaneous codes

Policy 06-004, effective 08/01/20
May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Health education and cultural & linguistics update

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Tobacco cessation requirements update

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Electronic stay healthy assessment tool update

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Diabetes prevention program

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Reimbursement policy update: Unlisted, unspecified or miscellaneous codes

Policy 06-004, effective 08/01/20
May 2020 Anthem Blue Cross Provider News - California Cal MediConnect May 1, 2020

HEDIS 2020 Federal Employee Program medical record request requirements

April 2020 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Apr 1, 2020

New MA Opioid Treatment Program benefit

April 2020 Anthem Blue Cross Provider News - California Medicare Apr 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

April 2020 Anthem Blue Cross Provider News - California Medicare Apr 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

April 2020 Anthem Blue Cross Provider News - California Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Blue Cross Provider News - California Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates for November 2019

April 2020 Anthem Blue Cross Provider News - California Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates for December 2019

April 2020 Anthem Blue Cross Provider News - California Medicare Apr 1, 2020

COVID-19 Virus Talking Points

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Coding tip for psychological and neuropsychological testing

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Medical drug benefit Clinical Criteria updates for November 2019

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Medical drug benefit Clinical Criteria updates for December 2019

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Multiple and bilateral surgery, professional and facility reimbursement policy update

Policy 06-010, effective 05/01/20, revised 03/01/20

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Use of imaging studies for Low back Pain (LBP)

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

New specialty pharmacy medical injectable step therapy requirements

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

New specialty pharmacy medical step therapy requirements

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Access to care standards

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020
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