California
Provider Communications

Support documentation for AIM prior authorization requests

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

2022 Provider satisfaction survey

CAA: Keep your provider directory information up to date

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

Authorization application enhancements: Faster, easier, and more efficient

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

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

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

Visit the Provider Learning Hub to view our latest learning opportunities

Remote EMR access service for HEDIS

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

Important information about utilization management

Alcohol use disorders often coexist with psychiatric disorders

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

New Plan Announcement

Personalized Match

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)

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