California
Provider Communications

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

Title	Publication	Category	Date
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 What is an e-Consult? Prior authorization updates for medications billed under the medical benefit	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 Prior authorization updates for medications billed under the medical benefit Provider notification process Provider coding education: Webinars and on-demand trainings are now available!	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 Prior authorization requirement change for HCPCS code K1022 Provider notification process New specialty pharmacy medical step therapy requirements	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 Prior authorization required for specialty pharmacy drugs New specialty pharmacy medical step therapy requirements Medical drug benefit Clinical Criteria updates Medical Policies and Clinical Utilization Management guidelines update Quick tips to filing a complete and correct professional claim	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 Prior authorization requirement changes — 97535 Self-care/home management training	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 Pharmacy services to be fee-for-service benefit Prior authorization updates for medications billed under the medical benefit	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 Durable medical equipment prior authorization requirement changes effective February 1, 2021 Prior authorization requirement changes Medical drug benefit Clinical Criteria updates Managed care organization pharmacy benefits transitioning to the Medi-Cal Rx program Medical Policies and Clinical Utilization Management Guidelines update	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 2021 affirmative statement concerning utilization management decisions May 2021 Medical Policies and Utilization Management Guidelines update	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
Clinical criteria updates notification November 2020	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
There is something new happening at Anthem Blue Cross	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
Iron infusion medical step therapy notice	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
Clinical criteria updates notification December 2020	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
April – Defeat diabetes month	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
Health education classes	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
Diabetes prevention program	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
Requirements for using the Staying Healthy Assessment tool in an electronic format	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
Tobacco cessation requirements for Medi-Cal Managed Care providers	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
Prior authorization required for specialty pharmacy drugs	April 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Apr 1, 2021
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

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