California
Provider Communications

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

Title	Publication	Category	Date
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
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

Page 1 of 3

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use.