California
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Keep up with Medi-Cal news - January 2023

  • Population Needs Assessment report
  • Remind your patients to update their Medi-Cal Managed Care information
January 2023 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 30, 2022

New plan announcement

January 2023 Anthem Blue Cross Provider News - California Medicare Dec 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

January 2023 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 30, 2022

Keep up with Medicare 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 Medicare Dec 30, 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

Engagement with your patient counts

January 2023 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Blue Cross Provider News - California Medicare Dec 30, 2022

Update to the Pregnancy Notification Form

December 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2022

New Digital Provider Enrollment tool added to Availity

December 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

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

Personal home helper benefit ending

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

Cal MediConnect Plans change effective January 1, 2023

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

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 Medicare news - December 2022

  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Blue Cross Provider News - California Medicare Dec 1, 2022

Keep up with Medi-Cal news - December 2022

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
December 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2022

Important information about utilization management

November 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2022

New Plan Announcement

November 2022 Anthem Blue Cross Provider News - California Medicare Nov 1, 2022

Personalized Match

November 2022 Anthem Blue Cross Provider News - California Medicare Nov 1, 2022

Keep up with Medi-Cal news - November 2022

  • Prior authorization requirement changes effective November 1, 2022
  • Diabetes Prevention Program
  • Medical drug benefit Clinical Criteria updates
  • No Wrong Door policy
November 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2022

Keep up with Medicare news - November 2022

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

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

Members’ Rights and Responsibilities section

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

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

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

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

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

Enhancing claims attachment processes through digital applications

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

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2022

Keep up with Medi-Cal news – September 2022

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

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

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

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

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

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

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

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

Keep up with Cal MediConnect news - June 2022

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

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

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

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

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
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