California
Provider Communications

Articles Category: State & Federal / Cal MediConnect

Title	Publication	Category	Date
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
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
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
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
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
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
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
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
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 Medical step therapy updates	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 Medical Policies and Clinical Utilization Management Guidelines update Medical drug benefit Clinical Criteria updates	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 Anthem Blue Cross expands specialty pharmacy precertification list	November 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Nov 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
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 May 2021 Medical Policies and Utilization Management Guidelines update 2021 affirmative statement concerning utilization management decisions	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

Page 1 of 2

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.