California
Provider Communications

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

Support documentation for AIM prior authorization requests

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

Remote EMR access service for HEDIS

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

Personalized Match

New Plan Announcement

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 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

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

Important information about utilization management

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

CAA: Keep your provider directory information up to date

Authorization application enhancements: Faster, easier, and more efficient

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

Alcohol use disorders often coexist with psychiatric disorders

2022 Provider satisfaction survey