California
Provider Communications

Articles Category: State & Federal / Medicare

Title	Publication	Category	Date
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
Partial hospitalization services	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
New incentive program reimbursement for select CPT Category II codes	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Prior authorization requirements for DME repair and portable oxygen concentrator	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Update: Evaluation and management with Modifier 25	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Keep up with Medicare news	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Electronic claim payment reconsideration	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Keep up with Medicare news	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Dual Eligible Special Needs Plans – provider training required	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Change to 835 ERA for all D-SNP MA members for 2019	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Keep up with Medicare news	March 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Mar 1, 2019
Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Reminder: Anthem follows original Medicare policies	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Use grouped CPT codes for AIM Specialty Health authorizations	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Anthem eye refraction and routine eye exam billing information	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
New specialty Medicare Part B device preferred product program	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Keep up with Medicare news	February 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Feb 1, 2019
Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option	January 18, 2019: Anthem Blue Cross eUPDATE - California	Medicare	Jan 17, 2019

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