California
Provider Communications

Articles Category: State & Federal / Medicare

Title	Publication	Category	Date
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
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

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