California
Provider Communications

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

Title Publication Category Date

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

Reimbursement policy update, Modifier 22: Increased procedural service

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

November 2018 Medical Policies and Clinical Utilization Management Guidelines update

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

Practitioners’ rights during credentialing process

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

Provider surveys

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

Diabetes prevention program

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

Tobacco cessation requirements for Medi-Cal Managed Care (Medi-Cal) providers

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

Medical necessity review for appropriate level of care

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

Appointment access standards

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

Regulatory updates

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

Clinical Criteria updates

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

Nicotine replacement products

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

Health education classes and Language assistance programs

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

Policy update: Maternity services

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

Update: evaluation and management with Modifier 25

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

Coding Spotlight: Cancer A provider’s guide to properly code cancers

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

Alcohol misuse screening and counseling in primary care

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

Requirements for using the Staying Healthy Assessment tool in an electronic format

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

Access patient-specific drug benefit information through electronic medical records

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

Neonatal intensive care unit post-traumatic stress disorder program

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

Coding spotlight: Diabetes

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

New specialty pharmacy medical step therapy requirements

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

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

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

Preferred Community Health Partners care management integration

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

Medical Policies and Clinical Utilization Management Guidelines update

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

My Diverse Patients: A website to support your diverse patients

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

Anthem Blue Cross now offering telehealth to Medicaid members

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

Quarterly pharmacy formulary change

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Claims requiring additional documentation

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Coding spotlight: Substance use disorders and smoking

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Prior authorization requirements for subcutaneous implantable defibrillator system

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Need up to date pharmacy information?

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018
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