California
Provider Communications

Articles

Title Publication Category Date

Enhancing Provider News website and email communications

February 2023 Anthem Blue Cross Provider News - California Digital Tools Feb 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Blue Cross Provider News - California Administrative Feb 1, 2023

Appropriate 911 emergency care procedures

February 2023 Anthem Blue Cross Provider News - California Administrative Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Blue Cross Provider News - California Administrative Feb 1, 2023

Keep up with Medi-Cal news - February 2023

  • Prior authorization updates for medications billed under the medical benefit (Enjaymo, Kimmtrak, Tezspire, Voxzogo)
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Pluvicto, Opdualag, Alymsys, Yusimry)
  • Introducing the Provider Learning Hub
February 2023 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2023

Peralta Community College District offers Medicare Advantage option

February 2023 Anthem Blue Cross Provider News - California Medicare Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Blue Cross Provider News - California Digital Tools Feb 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Anthem Blue Cross Provider News - California Administrative Feb 1, 2023

Keep up with Medicare News - February 2023

  • Introducing the Provider Learning Hub
  • Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines
  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Prior authorization requirement changes effective April 1, 2023
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023
February 2023 Anthem Blue Cross Provider News - California Medicare Feb 1, 2023

Anthem Blue Cross expands specialty pharmacy precertification list

February 2023 Anthem Blue Cross Provider News - California Medicare Feb 1, 2023

Anthem Blue Cross expands specialty pharmacy precertification list

February 2023 Anthem Blue Cross Provider News - California Medicare Feb 1, 2023

Specialty pharmacy precertification list expansion

February 2023 Anthem Blue Cross Provider News - California Medicare Feb 1, 2023

New specialty pharmacy medical step therapy requirements

February 2023 Anthem Blue Cross Provider News - California Medicare Feb 1, 2023

No cost, unlimited LiveHealth Online medical and psychology visits during the California State of Emergency

February 2023 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Feb 1, 2023

Engagement with your patient counts

January 2023 Anthem Blue Cross Provider News - California Administrative Dec 30, 2022

Keep up with Medi-Cal news - January 2023

  • Population Needs Assessment report
  • Remind your patients to update their Medi-Cal Managed Care information
January 2023 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Blue Cross Provider News - California Administrative Dec 30, 2022

New plan announcement

January 2023 Anthem Blue Cross Provider News - California Medicare Dec 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

January 2023 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Blue Cross Provider News - California Administrative Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Blue Cross Provider News - California Administrative Dec 30, 2022

Keep up with Medicare news - January 2023

  • Prior authorization requirement changes
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross expands specialty pharmacy precertification list
January 2023 Anthem Blue Cross Provider News - California Medicare Dec 30, 2022

Keep up with Cal MediConnect news - January 2023

  • Prior authorization requirement changes
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross expands specialty pharmacy precertification list
January 2023 Anthem Blue Cross Provider News - California Cal MediConnect Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Blue Cross Provider News - California Administrative Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Blue Cross Provider News - California Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Blue Cross Provider News - California Medicare Dec 30, 2022

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Anthem Blue Cross Provider News - California Policy Updates Dec 1, 2022

Contract compliance with accessibility standards for Appointment Availability and Emergency Care instructions after hours care

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

An overview of our medical necessity review process

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Reimbursement policy retraction: updates to professional and facility reimbursement policies

December 2022 Anthem Blue Cross Provider News - California Reimbursement Policies Dec 1, 2022

Overlapping Blue Plan service areas

December 2022 Anthem Blue Cross Provider News - California Behavioral Health Dec 1, 2022

BlueCard program quick tips

December 2022 Anthem Blue Cross Provider News - California Behavioral Health Dec 1, 2022

Find answers to BlueCard questions

December 2022 Anthem Blue Cross Provider News - California Behavioral Health Dec 1, 2022

Practice status: open or closed

December 2022 Anthem Blue Cross Provider News - California Behavioral Health Dec 1, 2022

Does your practice offer telehealth services? Let us know!

December 2022 Anthem Blue Cross Provider News - California Behavioral Health Dec 1, 2022

Senate Bill 245 addressing abortion, abortion related services, cost sharing and utilization management, including prior authorizations

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Blue Cross Provider News - California Reimbursement Policies Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Blue Cross Provider News - California Pharmacy Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com/ca

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Blue Cross Provider News - California Reimbursement Policies Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Coordination of care

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Case management program

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Update to the Pregnancy Notification Form

December 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2022

New Digital Provider Enrollment tool added to Availity

December 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Blue Cross Provider News - California Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Blue Cross Provider News - California Medicare Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Blue Cross Provider News - California Administrative Dec 1, 2022

Cal MediConnect Plans change effective January 1, 2023

December 2022 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2022

Keep up with Cal MediConnect news - December 2022

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Medical drug benefit Clinical Criteria updates
December 2022 Anthem Blue Cross Provider News - California Cal MediConnect Dec 1, 2022

Keep up with Medicare news - December 2022

  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Blue Cross Provider News - California Medicare Dec 1, 2022

Keep up with Medi-Cal news - December 2022

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
December 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Dec 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Nov 1, 2022

Important information about utilization management

November 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2022

Remote EMR access service for HEDIS

November 2022 Anthem Blue Cross Provider News - California Digital Tools Nov 1, 2022

New Plan Announcement

November 2022 Anthem Blue Cross Provider News - California Medicare Nov 1, 2022

Personalized Match

November 2022 Anthem Blue Cross Provider News - California Medicare Nov 1, 2022

Keep up with Medi-Cal news - November 2022

  • Prior authorization requirement changes effective November 1, 2022
  • Diabetes Prevention Program
  • Medical drug benefit Clinical Criteria updates
  • No Wrong Door policy
November 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Nov 1, 2022

Keep up with Medicare news - November 2022

  • Medical drug benefit Clinical Criteria updates
  • Anthem Blue Cross expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
  • New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Anthem Blue Cross Provider News - California Medicare Nov 1, 2022

Keep up with Cal MediConnect news - November 2022

  • Anthem Blue Cross expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirement (Avastin, Mvasi)
  • New specialty pharmacy medical step therapy requirement (Zarxio)
  • Medical drug benefit Clinical Criteria updates
November 2022 Anthem Blue Cross Provider News - California Cal MediConnect Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Anthem Blue Cross Provider News - California Administrative Nov 1, 2022

Regulatory HMO Contract Amendment – HMO Provider Agreement with Anthem Blue Cross

November 2022 Anthem Blue Cross Provider News - California Administrative Nov 1, 2022

2022 Provider satisfaction survey

November 2022 Anthem Blue Cross Provider News - California Administrative Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Anthem Blue Cross Provider News - California Administrative Nov 1, 2022

Claims status message enhancements: Providing clear descriptions and actionable next steps

November 2022 Anthem Blue Cross Provider News - California Digital Tools Nov 1, 2022

Authorization application enhancements: Faster, easier, and more efficient

Join our webcast on Wednesday, November 9, 2022, at 11 a.m. ET. Register here.

November 2022 Anthem Blue Cross Provider News - California Digital Tools Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Blue Cross Provider News - California Digital Tools Nov 1, 2022

RETRACTION - You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Blue Cross Provider News - California Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Blue Cross Provider News - California Digital Tools Nov 1, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - California Administrative Oct 7, 2022

Action Required: 2022 Member Grievance and Appeals Attestation Requirement

Action Required: 2022 Member Grievance and Appeals Attestation Requirement - California Administrative Oct 5, 2022

Reimbursement Policy RETRACTION: Sexually transmitted infections testing – professional

Policy 21-001, effective 01/01/2022
October 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2022

Members’ Rights and Responsibilities section

October 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2022

Monkeypox resources and recommendations for our care providers

October 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2022

New specialty pharmacy medical step therapy requirements

October 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2022

Keep up with Medi-Cal news – October 2022

October 2022 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

October 2022 Anthem Blue Cross Provider News - California Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Blue Cross Provider News - California Medicare Oct 1, 2022

Reimbursement Policy RETRACTION: Sexually transmitted infections testing – professional

Policy 21-001, effective 01/01/2022

October 2022 Anthem Blue Cross Provider News - California Medicare Oct 1, 2022

Keep up with Medicare news – October 2022

October 2022 Anthem Blue Cross Provider News - California Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2022

Reimbursement Policy RETRACTION: Sexually transmitted infections testing – professional

Policy 21-001, effective 01/01/2022
October 2022 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2022

Keep up with Cal MediConnect news - October 2022

October 2022 Anthem Blue Cross Provider News - California Cal MediConnect Oct 1, 2022

Help for members impacted by wildfires

October 2022 Anthem Blue Cross Provider News - California Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Blue Cross Provider News - California Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Anthem Blue Cross Provider News - California Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Anthem Blue Cross Provider News - California Administrative Oct 1, 2022

We want to hear from you – 2022 Provider Satisfaction Survey

October 2022 Anthem Blue Cross Provider News - California Administrative Oct 1, 2022

National Accounts 2023 pre-certification list

October 2022 Anthem Blue Cross Provider News - California Administrative Oct 1, 2022

Member benefit lookup by procedure code

October 2022 Anthem Blue Cross Provider News - California Digital Tools Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Blue Cross Provider News - California Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Blue Cross Provider News - California Pharmacy Oct 1, 2022

Monkeypox resources and recommendations for our care providers

Monkeypox resources and recommendations for our care providers Administrative Sep 16, 2022

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - California Administrative Sep 9, 2022
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