California
Provider Communications

Articles Category: State & Federal / Medicare

Title	Publication	Category	Date
Medical policies and clinical utilization management guidelines update	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Transition to AIM rehabilitative services clinical appropriateness guidelines	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
2020 affirmative statement concerning utilization management decisions	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
2020 special needs plans	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Anthem Blue Cross expanded HMO network guidance	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Medical drug benefit clinical criteria updates	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Modifier use reminders	July 2020 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2020
Anthem Blue Cross (Anthem) working with Optum to collect medical records for risk adjustment	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
2020 Medicare risk adjustment provider trainings	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
Diabetes HbA1c < 8 HEDIS guidance	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
Modifier use reminders	June 2020 Anthem Blue Cross Provider News - California	Medicare	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	Medicare	May 1, 2020
New behavioral health Medicare Advantage individual and group retiree solutions provider fax	May 2020 Anthem Blue Cross Provider News - California	Medicare	May 1, 2020
Prior authorization requirements	May 2020 Anthem Blue Cross Provider News - California	Medicare	May 1, 2020
Multi-dose packaging	May 2020 Anthem Blue Cross Provider News - California	Medicare	May 1, 2020
New MA Opioid Treatment Program benefit	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Medical Policies and Clinical Utilization Management Guidelines update	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Prior authorization requirements: new 2020 codes for coverage and precertification	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
2020 Medicare risk adjustment provider trainings	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Medical drug benefit Clinical Criteria updates for November 2019	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Medical drug benefit Clinical Criteria updates for December 2019	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Benefits update for Special Supplemental Benefits for the chronically ill	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Prior authorization requirements for CardioMEMs	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
California’s Valued Trust offers a Medicare Advantage option	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Personal Home Helper benefit	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Nonpreferred products and corresponding preferred alternatives	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Reminder: Mid-level practitioners are required to file using their NPI	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Reimbursement Policy Update – Modifier 62: Co-Surgeons, effective May 1, 2020	February 2020 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2020
New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice	February 2020 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2020
Electric Boat offers Medicare Advantage options	February 2020 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2020
2020 Medicare risk adjustment provider trainings	February 2020 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2020
Introducing two new Medicare Advantage special needs plans for 2020	February 2020 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2020
Professional and Facility Reimbursement Policy Update: Multiple and Bilateral Surgery	February 2020 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2020
New Medicare Advantage special needs plans	February 2020 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2020
Introducing two new Medicare Advantage special needs plans for 2020	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Reminder to Medicare Advantage providers	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
City of Marietta offers Medicare Advantage option	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
City of San Jose, California moves to Medicare Advantage plan under Anthem Blue Cross	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Help protect your patients by providing medical ID protection – best practices	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
California 2020 Medicare Advantage plan changes	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Prior authorization requirements for E0784, K0553 and K0554	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Healthcare Quality Patient Assessment form and Patient Assessment form	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Medicare preferred continuous glucose monitors	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Medical drug benefit Clinical Criteria updates	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Pharmacy benefit manager change to IngenioRx	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Medical policies and Clinical Utilization Management Guidelines update	January 2020 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2020
Service area benefit changes	December 2019 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2019
CMS reminder: expedited/urgent requests	December 2019 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2019
Group Retiree PPO program announcement	December 2019 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2019
Aspire Health for Medicare members in need of palliative care	December 2019 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2019
Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates	December 2019 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2019
Prior authorization requirements for E0784, K0553 and K0554	December 2019 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2019
Rehabilitative services prior authorization review update	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
CMS reminder: expedited/urgent requests	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Bill Medicare Part D for shingles or tetanus vaccination claims	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
2019 Enhanced Personal Health Care program releases myFHR	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
New reimbursement policy: Update drug screen testing	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Coming soon, electronic attachments	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Prior authorization requirements for Global March MPTAC CCRT configuration	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Aspire Telehealth Palliative Care program	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Clinical laboratory improvement amendments for Anthem Blue Cross	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
March 2019 medical policies and clinical utilization management guidelines update	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
June 2019 medical policies and clinical utilization management guidelines update	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Update: 2019 risk adjustment provider trainings	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Medicare preferred continuous glucose monitors	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Lowering health risks with no-cost statins	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Medical drug clinical criteria updates	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Assisting your patients in managing the Donut Hole	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Prior authorization requirements for continuous positive airway pressure supplies	October 2019 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2019
Coming soon, electronic attachments	September 2019 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2019
Clinical criteria updates	September 2019 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2019
Customizations to the 23rd edition of the MCG Care Guidelines	September 2019 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2019
Pharmacy benefit manager change to IngenioRx	September 2019 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2019
Keep up with Medicare news	September 2019 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2019
Drug screen testing (Policy 19-001, effective 10/01/19)	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
New service types added to Availity	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
AIM Specialty Health programs may require documentation	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
Special needs plans, provider training required	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
Emergency department: Level of Evaluation and Management Services	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
Prepayment clinical validation review process	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
Update to emergency department: Level of E&M services reimbursement policy	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
Unspecified diagnosis code update	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
Keep up with Medicare news	August 2019 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2019
Sepsis diagnosis coding and billing reminder	July 2019 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2019
Home health billing guidelines for contracted providers	July 2019 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2019
Outpatient rehabilitation program transitioning to AIM	July 2019 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2019
LAPRA to offer Medicare Advantage from Anthem Blue Cross	July 2019 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2019
Keep up with Medicare news	July 2019 Anthem Blue Cross Provider News - California	Medicare	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	Medicare	Jun 1, 2019
Keep up with Medicare news	June 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Jun 1, 2019
Fall prevention tips	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Medical records request for risk adjustment	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Medicare Advantage reimbursement policy provider bulletin	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019

Page 1 of 2

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.