News & Announcements

Providers impacted by California wildfires

In response to the fires and evacuations in Northern California, Anthem Blue Cross is revising the medical and pharmacy guidelines to help ensure our impacted members and participating providers have access to essential prescription medications and other health care-related services.

DHCS Suicide Prevention

The National Institute on Mental Health (NIMH) developed the Ask Suicide-Screening Questions (ASQ), four questions in 20 seconds to identify people at risk of suicide. In a NIMH study, a “yes” response to one or more questions identified 97% of youth aged 10 to 21 at risk of suicide. You have the opportunity to screen, intervene and prevent these events.

Now caring for Medi-Cal Managed Care (Medi-Cal) members under Anthem Blue Cross (Anthem)

Availity Provider FAQ and Availity Notification

Starting April 13, 2020, Anthem will launch the use of Availity’s Medical Attachment functionality for electronic communications. This new functionality allows providers to upload medical records and itemized bill information electronically instead of through traditional paper communications. This functionality can improve communications for medical record requests and receipt and will not impact the audit program.

Expansion of Specialty Pharmacy Precertification List: Zirabev

Effective March 23, 2020, the specialty Medicare Part B drug listed in the table below will be included in our precertification review process. Noncompliance with new requirements may result in denied claims

Hospice Billing Instructions

Effective November 1, 2019, hospice services are no longer the responsibility of the participating medical group (PMG)

New specialty pharmacy network for Anthem Blue Cross

Effective 2/1/19, Anthem Blue Cross announces the launch of a new specialty pharmacy network for Anthem members. The new network provides the special care needed when a specialty drug is dispensed.

MMP - Clinical Criteria Web Posting September 2019

On September 19, 2019, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the medical drug benefit for Anthem Blue Cross. These policies were developed, revised or reviewed to support clinical coding edits.

Clinical Criteria Web Posting September 2019

On September 19, 2019, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the medical drug benefit for Anthem Blue Cross. These policies were developed, revised or reviewed to support clinical coding edits.

Screening for perinatal and postpartum depression

Beginning July 1, 2019, providers of obstetrical care are required to screen or offer to screen women for perinatal mood disorders, including depression.

New! Demographic Updates Made Easy

Anthem Blue Cross providers should update provider demographic information online via the revised Provider Maintenance Form. Update options include: adding an address location, changing a name or tax ID, provider leaving a group or a single location, adding and updating phone/fax numbers, closing a practice location, and more. Visit the form page to review more update options.

Provider Website Survey

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