California
Provider Communications

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

Title Publication Category Date

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

Medical Policies and Clinical Utilization Management guidelines update

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

Verifying and updating your provider information

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

Improving the patient experience

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

Medical drug Clinical Criteria updates

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

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

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

Medical drug benefit Clinical Criteria updates

December 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2019

Reimbursement new policy: Update drug screen testing

November 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2019

June 2019 medical policies and clinical utilization management guidelines update

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Reimbursement policy update: Early and periodic screening, diagnostic and treatment (EPSDT)

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Regulatory updates

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Pharmacy benefit manager change to IngenioRx

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

March 2019 Medical policies and clinical utilization management guidelines update

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Coming soon: electronic attachments

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Prior authorization requirements for Global March MPTAC CCRT configuration

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

MCG Care guidelines update and customizations

October 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2019

Prior authorization changes

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

Medical drug clinical criteria updates

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

High-Risk OB case management program

September 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Sep 1, 2019

Pharmacy management information

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Use the Provider Maintenance Form to update your information

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Clinical criteria updates

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

New reimbursement policy: Drug screen testing

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Unspecified diagnosis code update

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

January 2019 medical policies and clinical utilization management guidelines update

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Prepayment clinical validation review process

August 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Aug 1, 2019

Coding spotlight: Hypertension

July 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2019

New service types added to Availity

July 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2019

Referring patients to California Smokers’ Helpline

July 2019 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

Billing instructions of A and B codes for medical supplies

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

Complex case management program

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

Important information about utilization management

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

Members’ rights and responsibilities statement

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

2019 Utilization management affirmative statement concerning utilization management decisions

June 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Jun 1, 2019

Clinical criteria updates

May 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care May 1, 2019

Electronic claim payment reconsideration

May 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care May 1, 2019

Latest updates to Electronic Data Interchange Gateway migration

May 2019 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care May 1, 2019
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