California
Provider Communications

Articles

Title	Publication	Category	Date
IngenioRx introduces new pharmacy network in 2021	November 2020 Anthem Blue Cross Provider News - California	Pharmacy	Nov 1, 2020
Pharmacy information available on anthem.com/ca	December 2020 Anthem Blue Cross Provider News - California	Pharmacy	Dec 1, 2020
US Antibiotic Awareness Week	November 2020 Anthem Blue Cross Provider News - California	Pharmacy	Nov 1, 2020
Changes to utilization requirements for Avsola, Renflexis and Inflectra for CalPERS PPO members only!	November 2020 Anthem Blue Cross Provider News - California	Pharmacy	Nov 1, 2020
Important update on Botox® for Anthem Blue Cross members	November 2021 Anthem Blue Cross Provider News - California	Pharmacy	Nov 1, 2021
Some of your patients will begin moving to IngenioRx in Q2 2019	March 2019 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Mar 1, 2019
Pharmacy information available on anthem.com/ca	March 2019 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Mar 1, 2019
CA Workers’ Compensation formulary in effect Drug formulary transition for injured workers	August 2018 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Aug 16, 2018
Anthem Blue Cross to update drug lists supporting commercial health plans	August 2018 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Aug 16, 2018
Pharmacy information available on anthem.com/ca	April 2019 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Apr 1, 2019
Anthem Blue Cross accepts prior authorization requests for prescription medications online	August 2018 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Aug 16, 2018
Pharmacy information available on anthem.com/ca	December 2019 Anthem Blue Cross Provider News - California	Pharmacy	Dec 1, 2019
Daily morphine equivalent dosing limit	August 2018 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Aug 16, 2018
Pharmacy information available on anthem.com/ca	August 2018 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Aug 16, 2018
Anthem Announces Early Launch of IngenioRx	N/A	Pharmacy	Jan 29, 2019
Pharmacy information available on anthem.com/ca	April 2022 Anthem Blue Cross Provider News - California	Pharmacy	Apr 1, 2022
Reminder on Botox® for Anthem Blue Cross members	April 2022 Anthem Blue Cross Provider News - California	Pharmacy	Apr 1, 2022
Pharmacy information available on the provider website	December 2022 Anthem Blue Cross Provider News - California	Pharmacy	Dec 1, 2022
Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit	August 2020 Anthem Blue Cross Provider News - California	Pharmacy	Aug 1, 2020
Pharmacy information available on anthem.com/ca	August 2020 Anthem Blue Cross Provider News - California	Pharmacy	Aug 1, 2020
Pharmacy information available online	July 2022 Anthem Blue Cross Provider News - California	Pharmacy	Jul 1, 2022
Clinical criteria and prior authorization updates for specialty pharmacy are available	August 2019 Anthem Blue Cross Provider News - California	Pharmacy	Aug 1, 2019
Pharmacy information available on anthem.com/ca	August 2019 Anthem Blue Cross Provider News - California	Pharmacy	Aug 1, 2019
Pharmacy information available on anthem.com/ca	March 2021 Anthem Blue Cross Provider News - California	Pharmacy	Mar 1, 2021
Pharmacy information available on anthem.com/ca	June 2021 Anthem Blue Cross Provider News - California	Pharmacy	Jun 1, 2021
Simplifying medication prior authorization process	January 2019 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Jan 1, 2019
Pharmacy information available on anthem.com/ca	January 2019 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Jan 1, 2019
Update regarding drugs not approved by the FDA	January 2019 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Jan 1, 2019
Pharmacy information available on anthem.com/ca	March 2020 Anthem Blue Cross Provider News - California	Pharmacy	Mar 1, 2020
Introducing the new Clinical Criteria page for injectable, infused or implanted drugs	December 2018 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Dec 1, 2018
Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021	April 2021 Anthem Blue Cross Provider News - California	Pharmacy	Apr 1, 2021
Pharmacy information available on anthem.com/ca	December 2018 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Dec 1, 2018
Pharmacy information available on anthem.com/ca	April 2021 Anthem Blue Cross Provider News - California	Pharmacy	Apr 1, 2021
Anthem Blue Cross accepts electronic prior authorization requests for prescription medications online	December 2018 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Dec 1, 2018
Pharmacy information available on our provider website	March 2023 Anthem Blue Cross Provider News - California	Pharmacy	Mar 1, 2023
Anthem Blue Cross to delay most April 1, 2020, formulary list updates for commercial health plan pharmacy benefit	April 2020 Anthem Blue Cross Provider News - California	Pharmacy	Apr 1, 2020
Pharmacy information available on anthem.com/ca	April 2020 Anthem Blue Cross Provider News - California	Pharmacy	Apr 1, 2020
CVS Specialty, Anthem’s designated specialty pharmacy	June 2020 Anthem Blue Cross Provider News - California	Pharmacy	Jun 1, 2020
Pharmacy information available on anthem.com/ca	June 2020 Anthem Blue Cross Provider News - California	Pharmacy	Jun 1, 2020
Pharmacy information available on anthem.com/ca	October 2021 Anthem Blue Cross Provider News - California	Pharmacy	Oct 1, 2021
Remaining members transition to IngenioRx on January 1, 2020	November 2019 Anthem Blue Cross Provider News - California	Pharmacy	Nov 1, 2019
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
Anthem Blue Cross (Anthem) working with Optum to collect medical records for risk adjustment	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
Medical policies and clinical utilization management guidelines update	June 2021 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2021
2020 Medicare risk adjustment provider trainings	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness	May 2021 Anthem Blue Cross Provider News - California	Medicare	May 1, 2021
Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ	June 2021 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2021
Diabetes HbA1c < 8 HEDIS guidance	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
Maximizing efficient, high quality COVID-19 screenings	May 2021 Anthem Blue Cross Provider News - California	Medicare	May 1, 2021
Benefits update for Special Supplemental Benefits for the chronically ill	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Modifier use reminders	June 2020 Anthem Blue Cross Provider News - California	Medicare	Jun 1, 2020
Helping our members	May 2021 Anthem Blue Cross Provider News - California	Medicare	May 1, 2021
Prior authorization requirements for CardioMEMs	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Rehabilitative services prior authorization review update	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
California’s Valued Trust offers a Medicare Advantage option	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
CMS reminder: expedited/urgent requests	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Personal Home Helper benefit	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Bill Medicare Part D for shingles or tetanus vaccination claims	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Nonpreferred products and corresponding preferred alternatives	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
New MA Opioid Treatment Program benefit	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
2019 Enhanced Personal Health Care program releases myFHR	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Reminder: Mid-level practitioners are required to file using their NPI	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Medical Policies and Clinical Utilization Management Guidelines update	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)	March 2020 Anthem Blue Cross Provider News - California	Medicare	Mar 1, 2020
Prior authorization requirements: new 2020 codes for coverage and precertification	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
New reimbursement policy: Update drug screen testing	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
2020 Medicare risk adjustment provider trainings	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Anthem Blue Cross Provider News - California	Medicare	Nov 1, 2019
Medical drug benefit Clinical Criteria updates for November 2019	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Medical drug benefit Clinical Criteria updates for December 2019	April 2020 Anthem Blue Cross Provider News - California	Medicare	Apr 1, 2020
Fall prevention tips	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Medical records request for risk adjustment	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Medicare Advantage reimbursement policy provider bulletin	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Important update on Botox® for Medicare members of Anthem Blue Cross	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Partial hospitalization services	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Los Angeles City Employees’ Retirement System adds the medical and prescription drug plan	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
New incentive program reimbursement for select CPT Category II codes	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Northern California Cement Masons, California moves to Medicare Advantage plan	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Prior authorization requirements for DME repair and portable oxygen concentrator	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Professional claims – billing referring provider and NPI for home infusion therapy and ambulatory infusion suite	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Update: Evaluation and management with Modifier 25	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Keep up with Medicare news	May 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	May 1, 2019
Keep up with Medicare news – January 2022 AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update Medical step therapy updates Anthem Blue Cross expands specialty pharmacy precertification list	January 2022 Anthem Blue Cross Provider News - California	Medicare	Jan 1, 2022
Peralta Community College District offers Medicare Advantage option	February 2023 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2023
Preventing claims denials: Shingles vaccine Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
Infliximab Step Therapy – effective July 15, 2021	August 2021 Anthem Blue Cross Provider News - California	Medicare	Aug 1, 2021
New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.	New 240k member Medicare Advantage Group Retiree PPO plan	Medicare	Oct 19, 2021
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
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	September 2020 Anthem Blue Cross Provider News - California	Medicare	Sep 1, 2020
Medical drug benefit Clinical Criteria updates	February 2021 Anthem Blue Cross Provider News - California	Medicare	Feb 1, 2021
Keep up with Medicare news – October 2022 Medicare Part B Precert Expansion Alymsys Medicare Part B Precert Expansion Amvuttra Xipere Consultation Codes	October 2022 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2022
Prior authorization requirements for the below codes	October 2020 Anthem Blue Cross Provider News - California	Medicare	Oct 1, 2020

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