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
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