California
Provider Communications

Action required: 2023 Consumer Grievance and Appeals attestation Requirement

Group number change for Screen Actors Guild-American Federation of Television and Radio Artists Health Plan

Controlling High Blood Pressure and Submitting Compliant Readings

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

Appropriate 911 emergency care procedures

Have you reviewed your online provider directory information lately?

Enhancing Provider News website and email communications

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

2023 FEP benefit information available online

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

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

Peralta Community College District offers Medicare Advantage option

Anthem Blue Cross expands specialty pharmacy precertification list

Anthem Blue Cross expands specialty pharmacy precertification list

Specialty pharmacy precertification list expansion

New specialty pharmacy medical step therapy requirements

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