California
Provider Communications

Articles Category: State & Federal / Medi-Cal Managed Care

Title Publication Category Date

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

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

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

Members’ Rights and Responsibilities section

October 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care 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 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

Alcohol use disorders linked to chronic diseases

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 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

Enhancing claims attachment processes through digital applications

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

New specialty pharmacy medical step therapy requirements

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

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

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

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

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

It is CAHPs survey time!

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Clinical utilization management guidelines update

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Urinary tract infection toolkits are on the way

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Keep up with Medi-Cal news – March 2022

March 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2022

Get faster payments with EFT

February 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2022

Keep up with Medi-Cal news – February 2022

Prior authorization updates for medications billed under the medical benefit.
February 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2022

Botox® update for Anthem Blue Cross members

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2022

2021 CAHPS Survey results

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care 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 Medi-Cal Managed Care Jan 1, 2022

Keep up with Medi-Cal news – January 2022

January 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2022

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Policy update: Drug screen testing

Policy update: Drug screen testing, effective March 1, 2022

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Keep up with Medi-Cal news – December 2021

December 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2021

Discharges against medical advice

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

4 things you can do to encourage cancer screenings for your women patients

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

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

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Unspecified diagnosis reminder

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Pharmacy services to be fee-for-service benefit

November 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2021

Diabetes testing and screening HEDIS measures

October 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2021

New policy: Sexually transmitted infections testing, effective January 1, 2022 - professional

October 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2021

Keep up with Medi-Cal news – October 2021

October 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2021

Keep up with Medi-Cal news - September 2021

Prior authorization requirement changes effective October 1, 2021 - UM AROW 1576
Clinical criteria updates notification May 2021
September 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care 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 Medi-Cal Managed Care Jul 1, 2021

Coding spotlight: Mental disorders in childhood

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

What matters most: Improving the patient experience

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Resources to support your diverse patient panel

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Infusion step therapy retraction notice

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Specialty pharmacy prior authorization retraction notice

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

February 2021 medical policies and utilization management guidelines update

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care 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 Medi-Cal Managed Care Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Provider education program survey: Your voice counts

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Prior authorization updates for specialty pharmacy

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Keeping up with routine vaccination during COVID-19

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Aspire Health for members in need of palliative care

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Member grievance and appeals process

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Complex case management program

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Important information about utilization management

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Members’ rights and responsibilities statement

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Continuing medical education / continuing education unit opportunities

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

2020 Anthem Blue Cross population needs assessment

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Coding spotlight: Tips and best practices for compliance

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Educational presentations and materials for physicians and medical providers

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Other health insurance verification

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Member grievance and appeals process

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Access to care standards

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Sign up to receive email from Anthem Blue Cross

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Prior authorization for specialty pharmacy

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021

November 2020 medical policies and utilization management guidelines update

April 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2021
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