California
Provider Communications

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

Title	Publication	Category	Date
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
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

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