California
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

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

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

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
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