California
Provider Communications

Articles Month: February 2021

Title	Publication	Category	Date
Pharmacy information available on anthem.com/ca	February 2021 Anthem Blue Cross Provider News - California	Pharmacy	Feb 1, 2021
Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit	February 2021 Anthem Blue Cross Provider News - California	Pharmacy	Feb 1, 2021
Reminder: Effective January 2021, all NECA/IBEW have new member ID numbers	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
New provider directory indicator for telehealth services	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
Anthem continues to offer EPO and HMO individual on and off exchange products Expansion of both EPO and HMO offerings to new regions.	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
Anthem Blue Cross provider directory and provider data updates	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
Easily update provider demographics with the online Provider Maintenance Form	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
Provider Education seminars, webinars, workshops and more!	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
Stay “in the know” at no charge!	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
Network leasing arrangements	February 2021 Anthem Blue Cross Provider News - California	Administrative	Feb 1, 2021
Reimbursement Policy update – effective May 1, 2021 Preadmission Services for Inpatient Stays	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
CAHPS® survey	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
HEDIS Measurement year 2020: Medi-Cal summary of changes from NCQA	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
Update to Clinical Practice Guidelines and Preventive Health Care Guidelines	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
Updated quality performance requirements	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
Prior authorization requirements for 55899	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
Radiotherapies and radioimmunotherapies will require prior authorization	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
Medical drug benefit Clinical Criteria updates	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards New additional benefit detail.	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 1, 2021
New specialty pharmacy medical step therapy requirements	February 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Feb 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
Medical drug benefit Clinical Criteria updates – August 2020	February 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Feb 1, 2021
Medical drug benefit Clinical Criteria updates	February 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Feb 1, 2021

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California
Provider Communications

Articles Month: February 2021

Pharmacy information available on anthem.com/ca

Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit

Reminder: Effective January 2021, all NECA/IBEW have new member ID numbers

New provider directory indicator for telehealth services

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

Anthem continues to offer EPO and HMO individual on and off exchange products

Anthem Blue Cross provider directory and provider data updates

Easily update provider demographics with the online Provider Maintenance Form

Provider Education seminars, webinars, workshops and more!

Stay “in the know” at no charge!

Network leasing arrangements

Reimbursement Policy update – effective May 1, 2021

CAHPS® survey

HEDIS Measurement year 2020: Medi-Cal summary of changes from NCQA

Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326

Update to Clinical Practice Guidelines and Preventive Health Care Guidelines

Updated quality performance requirements

Prior authorization requirements for 55899

Radiotherapies and radioimmunotherapies will require prior authorization

Medical drug benefit Clinical Criteria updates

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

New specialty pharmacy medical step therapy requirements

PN for UM AROW Item 1330

IBEW Local 234, CA moves to Medicare Advantage plan under Anthem Blue Cross

Medical drug benefit Clinical Criteria updates

Medical drug benefit Clinical Criteria updates – August 2020

Medical drug benefit Clinical Criteria updates

CaliforniaProvider Communications

Articles Month: February 2021

California
Provider Communications