California
Provider Communications

Articles Category: State & Federal / Medicare

Title	Publication	Category	Date
Medical drug benefit Clinical Criteria updates	September 2020 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2020
Provider data update	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
Medical drug benefit Clinical Criteria updates	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
2020 Medicare risk adjustment provider trainings	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
Submit behavioral health authorizations via our online Interactive Care Reviewer tool	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
New MCG Care Guidelines 24th edition	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
AIM Musculoskeletal program expansion	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM	August 2020 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2020
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

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