California
Provider Communications

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

Title Publication Category Date

Access to more claim denial information is now self-service

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

MCG Care Guidelines 24th edition customization

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

March – Child life month

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

Coding spotlight: Overview of the 2021 evaluation and management changes

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

Reimbursement Policy update – effective May 1, 2021

Preadmission Services for Inpatient Stays

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

CAHPS® survey

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

HEDIS Measurement year 2020: Medi-Cal summary of changes from NCQA

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

Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326

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

Update to Clinical Practice Guidelines and Preventive Health Care Guidelines

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

Updated quality performance requirements

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

Prior authorization requirements for 55899

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

Radiotherapies and radioimmunotherapies will require prior authorization

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

Medical drug benefit Clinical Criteria updates

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

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

New additional benefit detail.

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

New specialty pharmacy medical step therapy requirements

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

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

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

New specialty pharmacy medical step therapy requirements

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

Medical drug benefit Clinical Criteria updates

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

August 2020 Medical Policies and Utilization Management Guidelines update

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

Coding spotlight: HEDIS MY 2021

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

Disease Management/Population health program

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

Digital transactions cut administrative tasks in half

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Reimbursement policy update: Split-care surgical modifiers

Policy 11-005, effective 03/01/21
December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

CAHPS education for providers

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Notifications on the Availity Portal

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Transition to AIM Small Joint guidelines

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Anti-VEGF Medical Step Therapy notice

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Resources to support your pregnant and postpartum patients and their families

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Clinical laboratory improvement amendments number – additional information

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Sign up to receive email from Anthem Blue Cross

December 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2020

Help prevent pre-eclampsia with prenatal aspirin

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Provider Chat – a fast, easy way to get your questions answered

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

New specialty pharmacy medical step therapy requirements

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

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

Policy 20-002, effective 04/24/20

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Coding spotlight: Tips and best practices for compliance

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

New specialty pharmacy medical step therapy requirements

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

November 26 is National Family Health History Day

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2020

Prior authorization requirements for E0482

October 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2020

Coding spotlight: Providers guide to coding for behavioral health disorders

October 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2020

What matters most online training course: Improving patient experience

September 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2020

Medical policies and clinical utilization management guidelines update

September 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2020

Regulatory updates

August 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2020

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

August 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2020

Medical policies and clinical utilization management guidelines update

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Access to care standards

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Modifier use reminders

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Prior authorization requirements for angiographic evaluation of stenotic or thrombosed

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Adventist Health Tulare

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Now caring for Medi-Cal Managed Care members under Anthem Blue Cross for Palmdale Regional

July 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2020

Medical policies and clinical utilization management guidelines update

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Modifier use reminders

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Acquisition of Beacon Health Options

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

MCG care guidelines: 24 Edition

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Coding spotlight: Provider’s guide to code social determinants of health

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Follow-up after hospitalization for mental illness

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Complex case management program

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Important information about utilization management

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Members’ Rights and Responsibilities Statement

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

CVS Specialty: Our designated specialty pharmacy

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2020

Resources supporting our providers during COVID-19

June 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care 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 Medi-Cal Managed Care May 1, 2020

Health education and cultural & linguistics update

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Tobacco cessation requirements update

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Electronic stay healthy assessment tool update

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

Diabetes prevention program

May 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2020

COVID-19 Virus Talking Points

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Coding tip for psychological and neuropsychological testing

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Medical drug benefit Clinical Criteria updates for November 2019

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Medical drug benefit Clinical Criteria updates for December 2019

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Multiple and bilateral surgery, professional and facility reimbursement policy update

Policy 06-010, effective 05/01/20, revised 03/01/20

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Use of imaging studies for Low back Pain (LBP)

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

New specialty pharmacy medical injectable step therapy requirements

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

New specialty pharmacy medical step therapy requirements

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Access to care standards

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

April 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Apr 1, 2020

Antibiotic dispensing guidelines

March 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2020

Coding spotlight: HIV and AIDS

March 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2020

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

March 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2020

Bright Heart Health medication-assisted treatment program

March 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2020

Restoration of optional benefits

March 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Mar 1, 2020

New specialty pharmacy network

February 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2020

Professional and Facility Reimbursement Policy Update: Multiple and Bilateral Surgery

February 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2020

Regulatory updates

February 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2020

Coding spotlight – provider’s guide to coding respiratory diseases

January 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2020

California Smokers’ Helpline launches dedicated quit Vaping line!

January 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2020

2020 Prenatal ultrasound diagnosis code update

January 2020 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jan 1, 2020
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