California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

Medical drug benefit clinical criteria updates

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

Keep up with Cal MediConnect news October 2021

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

Medical policies and clinical utilization management guidelines update

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

MCG care guidelines: 24th Edition

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

Helping our members

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

CG care guidelines 25th edition

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

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

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

Medical drug clinical criteria updates – Quarter 2

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Blue Cross Provider News - California Cal MediConnect Mar 1, 2020

MMP clinical criteria updates

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

Medical drug clinical criteria updates – Quarter 1

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

MMP reimbursement new policy: Update drug screen testing

November 2019 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2019

Important update on Botox® for Medicare members of Anthem Blue Cross

January 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2022

Prior authorization requirements: new 2020 codes for coverage and precertification

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

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

Medical records request for risk adjustment

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

Medical drug benefit clinical criteria updates for November 2019

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

Keep up with Cal MediConnect news - January 2022

January 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2022

Update: Evaluation and management with Modifier 25

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

MMP Prior authorization requirements for DME repair and portable oxygen concentrator

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

Medical drug benefit clinical criteria updates for December 2019

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

Medical policies and clinical utilization management guidelines update

April 2020 Anthem Blue Cross Provider News - California Cal MediConnect Apr 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

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

Medical drug benefit Clinical Criteria updates

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

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

October 2022 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2022

Medical drug benefit Clinical Criteria updates

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

Prior authorization requirements for Azedra (iobenguane l 131) and Poteligeo (mogamulizumab)

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018

Electronic data interchange migration to Availity

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018

Reimbursement policy update; Medical recalls, policy 06-111 – effective November 1, 2018

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018

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

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

September 2022 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2022

MCG Care guidelines update and customizations

October 2019 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2019

June 2019 medical policies and clinical utilization management guidelines update

October 2019 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2019

Coming soon: electronic attachments

October 2019 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2019

Medical drug benefit Clinical Criteria updates

November 2020 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2020

Reimbursement Policy update: Nurse practitioner and physician assistant services, professional

Reimbursement Policy (effective 04/24/20)

November 2020 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2020

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Blue Cross Provider News - California Cal MediConnect May 1, 2022

Digital transactions cut administrative tasks in half

November 2020 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2020

Keep up with Cal MediConnect news - May 2022

May 2022 Anthem Blue Cross Provider News - California Cal MediConnect May 1, 2022

Keep up with Cal MediConnect news - January 2023

  • Prior authorization requirement changes
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross expands specialty pharmacy precertification list
January 2023 Anthem Blue Cross Provider News - California Cal MediConnect Dec 30, 2022

Prior authorization requirements for Part B drugs: Retacrit (epoetin alfa-epbx), Damoctocog and llumya (tildrakizumab)

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Short and long acting narcotics regulatory changes and limits to days’ supplies

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Prior authorization requirments for Part B drugs: Moxetumomab Pasudotox, Cemiplimab and Fulphila (pegfilgrastim-jmbd)

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Prior authorization form notification

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

Claims requiring additional documentation

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

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

Short and long acting narcotics regulatory changes and limits to days’ supplies

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Prior authorization requirements for Part B drug Nivestym

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Electronic data interchange gateway update

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

MediConnect Plan network update

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Professional and Facility Reimbursement Policy Update: Multiple and Bilateral Surgery

February 2020 Anthem Blue Cross Provider News - California Cal MediConnect Feb 1, 2020

Reimbursement Policy Update: Split-Care Surgical Modifiers, effective May 1, 2020

February 2020 Anthem Blue Cross Provider News - California Cal MediConnect Feb 1, 2020

Reimbursement policy update, Modifier 62: Co-Surgeons

(Policy 06-010, effective 01/01/2020)
September 2019 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2019

Cal MediConnect Plans change effective January 1, 2023

December 2022 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2022

Changes to prior authorization requirements

September 2019 Anthem Blue Cross Provider News - California Cal MediConnect Sep 1, 2019

Keep up with Cal MediConnect news - December 2022

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Medical drug benefit Clinical Criteria updates
December 2022 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2022

Keep up with Cal MediConnect news - November 2022

  • Anthem Blue Cross expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirement (Avastin, Mvasi)
  • New specialty pharmacy medical step therapy requirement (Zarxio)
  • Medical drug benefit Clinical Criteria updates
November 2022 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2022

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2020

Transition to AIM Small Joint guidelines

December 2020 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2020

Claims editing update for ICD-10-CME Excludes 1 notes

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

MCG care guidelines 26th edition

July 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2022

Clinical criteria updates

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

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 November 2021

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

Keep up with Cal MediConnect news - July 2022

July 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2022

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

CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021

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

August 2020 MMP Medical Policies and Utilization Management Guidelines update

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

New service types added to Availity

August 2019 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2019

Prepayment clinical validation review process

August 2019 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2019

Unspecified diagnosis code update

August 2019 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2019

New reimbursement policy: drug screen testing

August 2019 Anthem Blue Cross Provider News - California Cal MediConnect Aug 1, 2019

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 - June 2022

June 2022 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2022

Keep up with Cal MediConnect news - December 2021

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

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

MCG Care Guidelines 24th edition customization

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

Keep up with Cal MediConnect news - April 2022

April 2022 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2022

Medical policies and clinical utilization management guidelines update

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

The Anthem, Inc. name is changing

April 2022 Anthem Blue Cross Provider News - California Cal MediConnect Apr 1, 2022
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