California
Provider Communications

Articles Category: State & Federal / Cal MediConnect

Title Publication Category Date

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

Keep up with Cal MediConnect news - June 2022

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

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

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

Keep up with Cal MediConnect news - March 2022

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

Get faster payments with EFT

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

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

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

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

Keep up with Cal MediConnect news - January 2022

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

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 - December 2021

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

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

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

Clinical criteria updates

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

Keep up with Cal MediConnect news November 2021

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

October 2021 Anthem Blue Cross Provider News - California Cal MediConnect 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

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

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

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

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

Oncology dose reduction program beginning July 1, 2021

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

Clinical criteria updates notification December 2020

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

MCG Care Guidelines 24th edition customization

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

Medical policies and clinical utilization management guidelines update

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

Access to more claim denial information is now self-service

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

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

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

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

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

Digital transactions cut administrative tasks in half

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

Medical drug benefit Clinical Criteria updates

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

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 Cal MediConnect May 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

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

Medical drug benefit clinical criteria updates for November 2019

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

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

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

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

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

Reminder to Anthem Blue Cross Cal MediConnect plan (Medicare-Medicaid Plan) providers

January 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2020

Pharmacy benefit manager changes to IngenioRx

January 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2020

Help protect your patients by providing medical ID protection – best practices

January 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

January 2020 Anthem Blue Cross Provider News - California Cal MediConnect Jan 1, 2020

MMP CMS reminder: expedited/urgent requests

December 2019 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2019

Prior authorization requirements for E0784, K0553 and K0554

December 2019 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2019

MMP Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2019

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

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

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

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

Changes to prior authorization requirements

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

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

Home health billing guidelines for contracted providers

July 2019 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2019

2019 Utilization management affirmative statement concerning utilization management decisions

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

Reimbursement policy update: Professional anesthesia services

Policy 06-019, effective 09/01/2019
June 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Jun 1, 2019

Partial hospitalization services

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