Key Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 1, 2025
Elevate your workflow with seamless patient chart uploads
AMH Health, LLC | Medicare AdvantageAugust 25, 2025
Enhance your skills with expanded billing and coding training
Recent Updates
Anthem Blue Cross and Blue Shield | CommercialSeptember 1, 2025
Notice of material change/amendment to contract
Specialty pharmacy updates — September 2025Anthem Blue Cross and Blue Shield | CommercialSeptember 1, 2025
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — September 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2025
Medication safety: Reducing risks with thoughtful prescribing and monitoringAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2025
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyEffective December 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 1, 2025
Elevate your workflow with seamless patient chart uploadsAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2025
Elevate your practice efficiency with electronic prescriber toolsAnthem Blue Cross and Blue Shield | CommercialAugust 28, 2025
Notice of material change/amendment to contract
Carelon Medical Benefits Management, Inc. Additional Outpatient Utilization Management and SurgicalEffective December 1, 2025
Anthem Blue Cross and Blue Shield | CommercialAugust 26, 2025
Notice of material change/amendment to contract
New guidelines for PET radiotracer management in UM beginning December 1, 2025AMH Health, LLC | Medicare AdvantageAugust 25, 2025
Enhance your skills with expanded billing and coding trainingAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 25, 2025
Anthem expands specialty pharmacy precertification listsEffective December 1, 2025
Avtozma, Osenvelt, Osenvelt, Stoboclo, and Xbryk
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 21, 2025
Medication safety: Clinical strategies for EMR monitoring and preventionAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 14, 2025
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective November 15, 2025
Anthem Blue Cross and Blue Shield | CommercialAugust 14, 2025
Notice of material change/amendment to contract
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective November 15, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 14, 2025
Precertification/prior authorization requirement changesEffective December 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2025
Expanded specialty pharmacy precertification listEffective November 1, 2025
Bomyntra, Conexxence, Imaav, Jobevne, Omlyclo, Qfitlia, Vyalev, and Jobevne
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Changes to Federal Employees Health Benefits program and Postal Service Health Benefits program telemedicine servicesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
SUD confidentiality protections for membersAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Support your patients with the CarelonRx, Inc. and Lark Weight Management ProgramAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — August 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageAugust 1, 2025
You are invited: immunization measures webinarAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Notice of material change/amendment to contract
Facility diagnostic radiopharmaceuticals and contrast mediaAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2025
Compatibility in care: sharing REL data to improve member healthAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyEffective November 1, 2025
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Upcoming updates: medical claims edit system for self‑administered drugsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
New EMR messaging alerts aim to close gaps in care for ACA patientsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Introducing a new Applied Behavior Analysis Provider Resource GuideAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Notice of material change/amendment to contract
Medical Policy and Clinical Guideline updatesEffective November 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 28, 2025
Clinical Criteria updatesEffective September 4, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 25, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective August 28, 2025
Anthem Blue Cross and Blue Shield | CommercialJuly 24, 2025
Specialty pharmacy updates — August 2025Anthem Blue Cross and Blue Shield | CommercialJuly 23, 2025
Reminder: Take action to protect infants from the respiratory syncytial virus this seasonAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 23, 2025
Enhance care provider data accuracy with updated roster toolsAnthem Blue Cross and Blue Shield | CommercialJuly 22, 2025
July formulary deletionsAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 21, 2025
Anthem Medicare Advantage Group Retiree Quick Reference GuideAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 18, 2025
New mandatory fields in roster templateAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2025
Benefits of utilization management attestations: a guide for care providersAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Enroll with Availity to verify your provider dataAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Join the 2025 Clinical Quality in Practice webinar seriesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Access our updated provider manual for July 1, 2025, changesAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Combat diabetes: Close the statin therapy gap for better heart healthAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — July 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2025
Streamlining behavioral health authorizations via Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Update: essential ICD‑10‑CM compliance for outpatient facility claimsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
Medical Policy and Clinical Guideline updatesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
Precertification/Prior Authorization list change notification July 1, 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
A quick guide to understanding JW and JZ modifiersAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
New reimbursement policy: Code and Clinical Editing Guidelines — Professional and FacilityAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
Reimbursement policy update: Bundled Services and Supplies — ProfessionalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Implementation of chargemaster‑based claims edit for ER levelingAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
A quick guide to understanding JW and JZ modifiers