California
Provider Communications

Articles Category: State & Federal / Medicare

Title	Publication	Category	Date
Important update on Botox® for Medicare members of Anthem Blue Cross	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Los Angeles City Employees’ Retirement System adds the medical and prescription drug plan	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Northern California Cement Masons, California moves to Medicare Advantage plan	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Professional claims – billing referring provider and NPI for home infusion therapy and ambulatory infusion suite	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Keep up with Medicare news – January 2022 AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update Medical step therapy updates Anthem Blue Cross expands specialty pharmacy precertification list	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Policy update: Drug screen testing Policy update: Drug screen testing, effective March 1, 2022	December 2021 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2021
Updates to AIM Specialty Health Advanced imaging clinical appropriateness guidelines	December 2021 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2021
2022 Medicare Advantage services area and benefit updates	December 2021 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2021
Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies	December 2021 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2021
Submitting prior authorizations is getting easier	December 2021 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2021
Keep up with Medicare news – December 2021 Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline Medical drug benefit Clinical Criteria updates Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions New York City Medicare Advantage announcement Medical Policies and Clinical Utilization Management Guidelines update Medical Policies and Clinical Utilization Management Guidelines update	December 2021 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2021
New York City Medicare Advantage announcement	November 2021 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2021
Updates to AIM Specialty Health cardiology clinical appropriateness guidelines	November 2021 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2021
Clinical criteria updates	November 2021 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2021
Anthem Blue Cross offering Advance Medical Directives program for 2022	November 2021 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2021
Anthem Blue Cross Medicare Advantage FFS HMO network guidance	November 2021 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2021
Electronic data interchange process	November 2021 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2021
Keep up with Medicare news – November 2021 Anthem Blue Cross expands specialty pharmacy precertification list	November 2021 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2021
New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.	New 240k member Medicare Advantage Group Retiree PPO plan	Medicare	Oct 19, 2021
Information about 2021 special needs plans	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
New policy: Sexually transmitted infections testing, effective January 2022 - professional	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
HEDIS® medical record submission made easier with our remote EMR access service	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
New medical step therapy requirements	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
Get your payments faster when you sign up for electronic funds transfer	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
Keep up with Medicare news – October 2021 May 2021 Medical Policies and Utilization Management Guidelines update 2021 affirmative statement concerning utilization management decisions	October 2021 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2021
Reimbursement policy update: DRG inpatient facility transfers	September 2021 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2021
Utilization management authorization rule operations	September 2021 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2021
Prior authorization form notification	September 2021 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2021
Keep up with Medicare news - September 2021 Medicare Advantage clinical criteria updates notification May 2021	September 2021 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2021
Preventing claims denials: Shingles vaccine Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
Infliximab Step Therapy – effective July 15, 2021	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing	July 2021 Anthem Blue Cross Provider News - California	Medicare	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	Medicare	Jul 1, 2021
Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428	July 2021 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2021
March 2021 Medical drug benefit clinical criteria updates	July 2021 Anthem Blue Cross Provider News - California	Medicare	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	Medicare	Jul 1, 2021
Policy reminder: Inpatient readmissions	June 2021 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2021
Updates to the AIM advanced imaging clinical appropriateness guidelines	June 2021 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2021
Anthem Blue Cross working with Optum to collect medical records for risk adjustment	June 2021 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2021
Medical drug benefit clinical criteria updates	June 2021 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2021
Medical policies and clinical utilization management guidelines update	June 2021 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2021
Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ	June 2021 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2021
Anthem Blue Cross working with Optum to collect medical records for Medicare Risk Adjustment	May 2021 Anthem Blue Cross Provider News - California	Medicare	May 1, 2021
Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness	May 2021 Anthem Blue Cross Provider News - California	Medicare	May 1, 2021
Maximizing efficient, high quality COVID-19 screenings	May 2021 Anthem Blue Cross Provider News - California	Medicare	May 1, 2021
Helping our members	May 2021 Anthem Blue Cross Provider News - California	Medicare	May 1, 2021
Does your practice offer telehealth services? Let us know!	April 2021 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2021
In-office assessment	April 2021 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2021
Oncology dose reduction program beginning July 1, 2021	April 2021 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2021
Clinical Criteria updates notification November 2020	April 2021 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2021
Clinical Criteria updates notification December 2020	April 2021 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2021
New provider directory indicator for telehealth services	March 2021 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2021
DME checklist of information needed from providers	March 2021 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2021
MCG Care Guidelines 24th edition customization	March 2021 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2021
Access to more claim denial information is now self-service	March 2021 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2021
PN for UM AROW Item 1330	February 2021 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2021
IBEW Local 234, CA moves to Medicare Advantage plan under Anthem Blue Cross	February 2021 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2021
Medical drug benefit Clinical Criteria updates	February 2021 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2021
CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Policy update – emergency department: Leveling of Evaluation and Management services	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Keep up with Medicare news	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
2020 Medicare risk adjustment provider trainings	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
SNF admission reporting requirements for D-SNP plans	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Policy update – Nurse Practitioner and Physician Assistant Services, Professional	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Updates to AIM Clinical Appropriateness Guidelines for Radiation	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Medical drug benefit Clinical Criteria updates	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
United Food and Commercial Workers Unions offers Medicare Advantage option	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
The University of the Pacific offers Medicare Advantage option	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Intel Corporation in California moves to Medicare Advantage plan from Anthem Blue Cross	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Inland Empire International Brotherhood of Electrical Workers – National Electrical Contractors Association health plan in California moves to a Medicare Advantage plan from Anthem Blue Cross	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Los Angeles County Office of Education moves to Anthem Blue Cross Medicare Advantage plan	January 2021 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2021
Digital transactions cut administrative tasks in half	December 2020 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2020
Medicare Advantage group retiree member eligibility, Alpha Prefix FAQ	December 2020 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2020
2021 Medicare Advantage individual benefits and formularies	December 2020 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2020
Transition to AIM Small Joint guidelines	December 2020 Anthem Blue Cross Provider News - California	Medicare	Dec 1, 2020
Prior authorization requirements for the below codes	November 2020 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2020
AIM Musculoskeletal program expansion update	November 2020 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2020
Preferred continuous glucose monitors	November 2020 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2020
Provider Chat: A fast, easy way to get your questions answered	November 2020 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2020
Transition to AIM rehabilitative service clinical appropriateness guidelines	November 2020 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2020
Digital transactions cut administrative tasks in half	November 2020 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2020
FDA approvals and expedited pathways used – new molecular entities	November 2020 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2020
Prior authorization requirements for the below codes	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020
Evaluation and management services correct coding	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020
Medical drug benefit Clinical Criteria updates	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020
In-office assessment program	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020
May 2020 medical policies and clinical utilization management guidelines update	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020
Patient360 enhancement for medical providers	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020
Prior authorization requirements for the below codes	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020
Update: Notice of changes to the AIM musculoskeletal program	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020
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

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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.