California Provider News...October 2019 Anthem Blue Cross Provider News - California Page 6 of 34 We are also very pleased to announce the expansion of our Individual EPO on and off

October 2019 Anthem Blue Cross Provider News - California Page 1 of 34

California Provider NewsOctober 2019 Anthem Blue Cross Provider News -

California

Pharmacy

Administrative

Reimbursement Policies

Important update Anthem Blue Crossrsquo commercial drug list 4

Pharmacy information available onanthemcompharmacyinformation

4

Anthem Blue Cross launches additional changes toanthemcomca

5

Individual on and off exchange plans 2020 benefit yearupdate

5

National accounts 2020 precertification list 7

Commercial risk adjustment reporting update retrospectiveprogram continues

7

Matrix mobile bus 8

Workersrsquo Compensation other payor ldquoFarmers InsuranceCompanyrdquo

10

Timely access regulations and language assistance program 10

US antibiotic awareness week is November 11-18 2019 13

Contracted provider claim escalation process 13

Provider Education seminars webinars workshops and more 14

Anthem Blue Cross provider directory and provider dataupdates

14

Easily update provider demographics with the online ProviderMaintenance Form

15

Sign-up now for our Provider News today at no charge 16

Network leasing arrangements 16

Professional reimbursement policy update Place of Service 17


Medicare

Medi-Cal Managed Care

Cal MediConnect

Coming soon electronic attachments 17

Prior authorization requirements for Global March MPTACCCRT configuration

18

Aspire Telehealth Palliative Care program 19

Clinical laboratory improvement amendments for Anthem BlueCross

20

March 2019 medical policies and clinical utilization managementguidelines update

20

June 2019 medical policies and clinical utilization managementguidelines update

20

Update 2019 risk adjustment provider trainings 22

Medicare preferred continuous glucose monitors 24

Lowering health risks with no-cost statins 24

Medical drug clinical criteria updates 25

Assisting your patients in managing the Donut Hole 25

Prior authorization requirements for continuous positive airwaypressure supplies

25


26

New clinical guideline pneumatic compression deviceseffective December 1 2019

28

Reimbursement policy update Early and periodic screeningdiagnostic and treatment (EPSDT)

28

Regulatory updates 29

Pharmacy benefit manager change to IngenioRx 29

March 2019 Medical policies and clinical utilization managementguidelines update

30



32

MCG Care guidelines update and customizations 32



Anthem Blue Cross is the trade name of Blue Cross of California Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Companyare independent licensees of the Blue Cross Association ANTHEM is a registered trademark of Anthem Insurance Companies Inc The Blue Crossname and symbol are registered marks of the Blue Cross Association Use of the Anthem Web sites constitutes your agreement with our Terms ofUse


33



Important update Anthem Blue Crossrsquo commercial drug listPublished Oct 1 2019 - Products amp Programs Pharmacy

Effective with dates of service on and after October 1 2019 and in accordance with AnthemBlue Crossrsquo (Anthem) Pharmacy and Therapeutic (PampT) process Anthem will update itscommercial drug lists Updates may include changes to drug tiers or the removal of a drug

To help ensure a smooth transition and minimize member costs providers should reviewthese changes and consider prescribing a preferred drug to patients currently using a non-preferred drug if appropriate

Please note this update does not apply to the Select Drug List or drugs lists utilized by theFederal Employee Programreg (FEP)

To view a summary of changes click here httpswwwanthemcomhealth-

insurancensecurepdfpharmacy_ABC_Formulary_Updatepdf

URL httpsprovidernewsanthemcomcaliforniaarticleimportant-update-anthem-blue-cross-commercial-drug-list

Pharmacy information available onanthemcompharmacyinformationPublished Oct 1 2019 - Products amp Programs Pharmacy

For more information on copaymentcoinsurance requirements and their applicable drugclasses drug lists and changes prior authorization criteria procedures for genericsubstitution therapeutic interchange step therapy or other management methods subject toprescribing decisions and any other requirements restrictions or limitations that apply tousing certain drugs visit anthemcompharmacyinformation The California and marketplacedrug lists are posted to the web site quarterly (the first of the month for January April Julyand October)

To locate ldquoMarketplace Select Formularyrdquo and pharmacy information scroll down to ldquoSelectDrug Listsrdquo This drug list is also reviewed and updated regularly as needed

FEP Pharmacy updates and other pharmacy related information may be accessed atwwwfepblueorg gt Pharmacy Benefits


URL httpsprovidernewsanthemcomcaliforniaarticlepharmacy-information-available-on-anthemcompharmacyinformation

Anthem Blue Cross launches additional changes toanthemcomcaPublished Oct 1 2019 - Administrative

Exciting new changes are on the horizon for the public provider site at wwwanthemcomcaThese next wave of updates include

A new Contact Us page that gives providers easy access to important contactinformation

A redesigned Medicare Advantage page with an improved effortless user experience

A new Enhanced Personal Health Care (EPHC) page that provides a more prominentand easier access to information that communicates Anthem Blue Cross role intransforming health care (EPHC is a program designed to advance and support a patient-centered approach to care delivery)

Preview of the new Contact Us and Medicare Advantage page

URL httpsprovidernewsanthemcomcaliforniaarticleanthem-blue-cross-launches-additional-changes-to-anthemcomca

Individual on and off exchange plans 2020 benefit year updatePublished Oct 1 2019 - Administrative

EPO Plans and NetworkFor the 2020 benefit year Anthem Blue Cross (Anthem) will continue to offer EPO Individualon-exchange and off-exchange plans in Covered Californiarsquos rating regions 1 7 and 10


We are also very pleased to announce the expansion of our Individual EPO on and offexchange plans into rating regions 9 and 12 Below is a list of counties located in thoseregions where Anthem will be offering 2020 EPO on and off exchange Individual plans

Region County

1Alpine Amador Butte Calaveras Colusa Del Norte Glenn HumboldtLake Lassen Mendocino Modoc Nevada Plumas Shasta SierraSiskiyou Sutter Tehama Trinity Tuolumne Yuba

7 Santa Clara9 Monterey San Benito Santa Cruz

10 Mariposa Merced San Joaquin Stanislaus Tulare12 San Luis Obispo Santa Barbara Ventura

Providers in Regions 1 7 and 10If you are participating in the on and off exchange network located in one of these regionsyou will continue to provide services to Anthem patients who have purchased coverage onand off exchange as you currently do under your Anthem provider agreement

The 2020 EPO plans do not have out-of-network benefits except for emergenturgentor authorized services only

Providers in Region 9 and 12If you participated in the on- and offexchange network in 2017 we have reinstated yourparticipation in the Individual EPO exchange network under your Anthem provideragreement We have further extended participation to several providers who previously didnot participate in the Anthem Individual EPO exchange A communication has been sent toboth previously participating providers and new providers in the EPO Individual exchange


HMO Plans and NetworkStarting with 2020 benefit year Anthem Blue Cross (Anthem) is excited to re-enter ratingregions 11 15 16 and 17 with our HMO Individual on exchange and off exchange plans


The Anthem HMO network in these regions is considered a ldquonarrowrdquo network and providershave been selected and agreements executed Below is a list of counties located in theregions where Anthem will be offering 2020 Individual on and off exchange HMO plans Region County11 Fresno Kings Madera15 amp 16 Los Angeles17 Riverside San Bernardino

These changes do not impact Anthem CA Individual ldquograndfatheredrdquo business

Anthem appreciates your partnership and continued participation in our Individual on and offexchange networks If you have any questions regarding this information please contactAnthemrsquos Network Relations department via email at CAContractSupportAnthemcom

URL httpsprovidernewsanthemcomcaliforniaarticleindividual-on-and-off-exchange-plans-2020-benefit-year-update

National accounts 2020 precertification listPublished Oct 1 2019 - Administrative

The National Accounts 2020 Pre-certification list has been published Please note providersshould continue to verify member eligibility and benefits prior to rendering services

URL httpsprovidernewsanthemcomcaliforniaarticlenational-accounts-2020-precertification-list-2

Commercial risk adjustment reporting update retrospectiveprogram continuesPublished Oct 1 2019 - Administrative

Continuing our 2019 CRA updates Anthem Blue Cross (Anthem) requests your assistancewith respect to accurately reporting our memberrsquos health status to CMS

2019 Retrospective Chart Request


Retrospective medical chart collection begins in November and it is the most significant andlargest volume of our requests We appreciate your collaboration as we work through therequests and submit to your medical records department in a timely manner Electronic options for chart collectionsWe have 4 electronic options for chart collections to choose from 1) RemoteDirectAnthem Access 2) Electronic Medical Record (EMR) Interoperability with 4 EMRsystems 3) Inovalon virtual visit or onsite 4) Secure FTP Submitting medical charts canbe time consuming for your staff Utilizing an electronic option can alleviate the constraintson your staffrsquos resources and time The most efficient electronic option is to allow the Anthem medical coder team to have directconnection access to your EMR system (Option 1) so that we may retrieve the recordsourselves Our team has collaborated with several Providers and Facilities to have directaccess to their EMR systems to collect the charts This allows for no vendor interventionsand fewer handoffs of the records To address compliance concerns please note that as ahealth plan Anthem is a covered entity under the HIPAA Privacy Rule and is bound toprotect PHI

If you are interested in any of these electronic options or you would like to grant Anthemmedical coders direct access to your EMR system please contact our Commercial RiskAdjustment Representative who supports your area SocorroCarrascoanthemcom

Thank you for your continued efforts with our CRA Program and your help in expeditingchart collection requests

URL httpsprovidernewsanthemcomcaliforniaarticlecommercial-risk-adjustment-reporting-update-retrospective-program-continues

Matrix mobile busPublished Oct 1 2019 - Administrative

As we continue our efforts to help ensure our members enrolled in Affordable Care Act(ACA) compliant plans have their chronic conditions assessed and documented each yearAnthem Blue Cross (Anthem) is engaging Matrix to help encourage members ndash on ourbehalf ndash to schedule a mobile health clinic assessment A vendor Matrix operates thelargest fleet of mobile medical centers nationwide and has conducted more than 1000000


patient assessments since 1998 ndash providing convenient access to comprehensive healthassessments

The mobile clinic provides members with additional options to help them close any gaps incare that they may have In late July Matrix began reaching out to members on our behalfby letter and phone Our outreach efforts will continue until the end of this year

Matrix works with hospitals and health plans like Anthem to deliver preventive health testingto the communities Matrix serves Each mobile clinic has a reception area and privatescreening rooms Matrix also helps members with scheduling follow-up appointments withtheir PCPs at the end of the assessments and forwards the PCPs a copy of any results fromthe health assessment

Matrix In-Home AssessmentsMatrix will perform in-home assessments where possible The in-home assessments offer aboard-certified nurse practitioner (NP) to come to a memberrsquos home to provide a generalexam suggestions for important screenings or other tests a full review of the medicinesthey take answers to health-related questions amp a personal health summary detailing theirhealth information A copy of the assessment will be sent to membersrsquo PCPs to ensurecontinuity of care The overall goals of the mobile clinic program and the in-home program are to provideconvenient comprehensive appointments that are designed to complement the careprovided by our network of physicians These mobile clinic or in-home visits do notreplace any active treatment plans members currently have with their physicians andare not considered wellness visits or a substitute for membersrsquo annual physicalexaminations

Wersquore including information about the program in this edition of Provider News shouldpatients contact you about the program Please refer members directly to Matrix if they havequestions or need more information

Mobile Bus 1-888-822-3247In-Home 1-855-403-0967

URL httpsprovidernewsanthemcomcaliforniaarticlematrix-mobile-bus


Workersrsquo Compensation other payor ldquoFarmers InsuranceCompanyrdquoPublished Oct 1 2019 - Administrative

As a Participating Provider with the Anthem Blue Cross Workersrsquo Compensation Networkyou have agreed to treat injured workers and accept reimbursement from ldquoOther Payorsrdquo peryour Provider Agreement To access the listing of Other Payors in our Network LeasingArrangement publication go online to

Availitycom gt Log into Availity gt Payer Spaces gt Anthem Blue Cross gt Education andReference Center gt Administrative Support gt Network Leasing Arrangementsrdquo

The Other Payor listing is updated monthly All Other Payors listed have signed anagreement with Anthem Blue Cross Workersrsquo Compensation to access the workersrsquocompensation network

Farmers Insurance and its affiliates will be listed as an Other Payor for workersrsquocompensation effective October 1st 2019 in the Anthem Workersrsquo Compensation section ofour Network Leasing Arrangement publication Farmers Insurance will make the entireAnthem Blue Cross Workersrsquo Compensation Network available to injured workersparticipating in the Anthem Premier Plus Medical Provider Network (MPN) to the extent theinjured worker is approved to treat with a participating provider outside of the AnthemPremier Plus MPN Therefore in the near future you may see a difference in reimbursementto certain bills that have been repriced to your Anthem Blue Cross contract rate

If you have any questions regarding your reimbursement rates please contact Anthem BlueCross Workersrsquo Compensation Customer Relations at 1-866-700-2168

URL httpsprovidernewsanthemcomcaliforniaarticleworkers-compensation-other-payor-farmers-insurance-company

Timely access regulations and language assistance programPublished Oct 1 2019 - Administrative

Blue Cross of California dba Anthem Blue Cross and Anthem Blue Cross Life amp HealthInsurance Company (collectively Anthemrdquo) are committed to keeping you our networkpartners updated on our activities related to our compliance with the Department of


Managed Health Care (DMHC) and the California Department of Insurance (CDI) TimelyAccess to Non-Emergency Health Care Services Regulations (the ldquoTimely AccessRegulationsrdquo) respectively Anthem maintains policies procedures and systems necessaryto ensure compliance with the Timely Access Regulations including access to non-emergency health care services within prescribed timeframes (also referred to as the ldquotimeelapsed standardsrdquo or ldquoappointment wait timesrdquo) Anthem can only achieve this compliancewith the help of our provider network partners you

There are many activities that are conducted to support compliance with the regulations andwe need you as well as covered individuals to help us attain the information that is neededThese studies allow our Plan to determine compliance with the regulations

The activities include but are not limited to the following

Provider Appointment Availability Survey

Provider Satisfaction Survey

Provider After ndash Hours Survey

These surveys are currently in process please review this information with youroffice staff so they are prepared and understand the importance of each providerrsquosparticipation in each of the surveys

We appreciate that in certain circumstances time-elapsed requirements may not be met TheTimely Access Regulations have provided exceptions to the time-elapsed standards toaddress these situations

Extending Appointment Wait Time The applicable waiting time for a particularappointment may be extended if the referring or treating licensed health care provider or thehealth professional providing triage or screening services as applicable acting within thescope of his or her practice and consistent with professionally recognized standards ofpractice has determined and noted in the relevant record that a longer waiting time will nothave a detrimental impact on the health of the patient

Preventive Care Services and Periodic Follow-up Care Preventive care services andperiodic follow up care are not subject to the appointment availability standards Theseservices may be scheduled in advance consistent with professionally recognized standardsof practice as determined by the treating licensed health care provider acting within thescope of his or her practice Periodic follow-up care includes but is not limited to standing


referrals to specialists for chronic conditions periodic office visits to monitor and treatpregnancy cardiac or mental health conditions and laboratory and radiological monitoringfor recurrence of disease

Advanced Access The primary care appointment availability standard may be met if theprimary care physician office provides ldquoadvanced accessrdquo ldquoAdvanced accessrdquo meansoffering an appointment to a patient with a primary care physician (or nurse practitioner orphysicianrsquos assistant) within the same or next business day from the time an appointment isrequested (or a later date if the patient prefers not to accept the appointment offered withinthe same or next business day)

We hope this clarifies Anthemrsquos expectations and your obligations regarding compliance withthe Timely Access Regulations Our goal is to work with our providers to successfully meetthe expectations for the requirements with the least amount of difficulty and memberabrasion To view the table of standards select the attachment

Members also have access to Anthemrsquos 247 NurseLine The NurseLine wait time is not toexceed 30 minutes The phone number is located on the back of the member ID card Inaddition Members and Providers have access to Anthemrsquos Customer Service team at thetelephone number listed on the back of the member ID card A representative may bereached within 10 minutes during normal business hours

Please contact the Anthem Member Services team at the telephone number listed on theback of the member ID card to obtain assistance if a patient is unable to obtain a timelyreferral to an appropriate providerIf you have further questions please contact Network Relations atCAContractSupportanthemcom For Patients (Members) with Department of Managed Health Care Regulated HealthplansIf you or your patients are unable to obtain a timely referral to an appropriate provider or foradditional information about the regulations visit the Department of Managed Health Carersquoswebsite atwwwdmhccagovHealthCareinCaliforniaYourHealthCareRightsTimelyAccesstoCareaspx or call toll-free 1-888-466-2219 for assistance


For Patients (Members) with California Department of Insurance Regulated HealthplansIf you or your patients are unable to obtain a timely referral to an appropriate provider or foradditional information about the regulations visit the Department of Insurancersquos website atwwwinsurancecagov or call toll-free 1-800-927-4357 for assistance Language Assistance ProgramFor members whose primary language isnrsquot English Anthem offers free language assistanceservices through interpreters and other written languages If you or the member is interestedin these services please call the Anthem Member Services number on the memberrsquos IDcard for help (TTYTDD 711)

URL httpsprovidernewsanthemcomcaliforniaarticletimely-access-regulations-and-language-assistance-program-2

US antibiotic awareness week is November 11-18 2019Published Oct 1 2019 - Administrative

This is a one week observance that gives organizations and providers an opportunity toraise awareness on the appropriate use of antibiotics and reduce the threat of antibioticresistance The Centers for Disease Control and Prevention (CDC) has many tools forproviders at httpswwwcdcgovantibiotic-useweektoolkithtml Posters prescriptionspads social media posts patient education pieces sticker and counter clings and more canbe found on the CDC website

During US Antibiotic Awareness Week and throughout the year the CDC promotes BeAntibiotics Aware an educational effort to raise awareness about the importance of safeantibiotic prescribing and use Be Antibiotics Aware has resources to help healthcareprofessionals (in outpatient and inpatient settings) educate patients and families aboutantibiotic use and risks for potential side effects For more information visithttpswwwcdcgovantibiotic-uses_cid=NCEZID-AntibioticUse-005

URL httpsprovidernewsanthemcomcaliforniaarticleus-antibiotic-awareness-week-is-november-11-18-2019-4


Contracted provider claim escalation processPublished Oct 1 2019 - Administrative

In an effort to better service our contracted providers right the first time Anthem Blue Crosshas improved our provider claim escalation process Just click Provider Claim EscalationProcess to read print download and share the improved process with your office staff

Our Network Relations Team is available by email at CAContractSupportanthemcom toanswer questions you have about the process

URL httpsprovidernewsanthemcomcaliforniaarticlecontracted-provider-claim-escalation-process-12

Provider Education seminars webinars workshops and morePublished Oct 1 2019 - Administrative

Our Provider Network Education team offers quality complimentary educational programsand materials specially designed for our providers For a complete listing of our workshopsseminars webinars and job aids log on to the Anthem Blue Cross websitewwwanthemcomca

Scroll down the page to Partners in Health gt Tools for Providers In the middle of the pageselect the boxFind Resources for California From the AnswersAnthem page select the link titledProvider Education Seminars and Webinars link

URL httpsprovidernewsanthemcomcaliforniaarticleprovider-education-seminars-webinars-workshops-and-more-12

Anthem Blue Cross provider directory and provider data updatesPublished Oct 1 2019 - Administrative

It is extremely important that we have accurate and up-to-date information about your practice in our

directories Senate Bill 137 (SB 137) requires that Anthem Blue Cross (Anthem) provide our members

accurate and up-to-date provider directory data As a result Anthem will be conducting ongoing outreaches to

all practices to confirm the information we have on file is accurate Without verification from you that our


Provider Directory information is accurate we will be required to remove your practice from the directories we

make available to our members We appreciate your attention to this matter

URL httpsprovidernewsanthemcomcaliforniaarticleanthem-blue-cross-provider-directory-and-provider-data-updates-12

Easily update provider demographics with the online ProviderMaintenance FormPublished Oct 1 2019 - Administrative

Anthem Blue Cross (Anthem) providers should now submit changes to their practice profileusing our online Provider Maintenance Form Online update options include add an address location name change tax ID changesprovider leaving a group or a single location phonefax numbers closing a practicelocation etc Visit the Provider Maintenance Form landing page to review more

The new online form can be found the redesigned provider site wwwanthemcomca selectthe Providers tab then select Provider Maintenance Form in the sub bullets In addition theProvider Maintenance Form can be accessed through the Availity Web Portal byselecting Californiagt Payer Spaces-Anthem Blue Crossgt Resources tab gtProviderMaintenance Form

Important information about updating your practice profile

Change request should be submitted using the online Provider MaintenanceForm

Submit the change request online No need to print complete and mail fax or emaildemographic updates

You will receive an auto-reply e-mail acknowledging receipt of your request andanother email when your submission has been processed

For change(s) that require submission of an updated IRS Form w-9 or otherdocumentation attach them to the form prior to submitting

Change request should be submitted with advance notice

Contractual agreement guidelines may supersede effective date of request


You can check your directory listing on the Anthem Blue Cross ldquoFind a Doctor toolrdquo TheFind a Doctor tool at Anthem is used by consumers members brokers and providers toidentify in-network physicians and other health care providers supporting member healthplans To ensure Anthem has the most current and accurate information please take amoment to access the Find A Doctor tool (wwwanthemcomca select the Providers tabthen select the Find A Doctor in the sub bullets) and review how you and your practice arebeing displayed

URL httpsprovidernewsanthemcomcaliforniaarticleeasily-update-provider-demographics-with-the-online-provider-maintenance-form-12

Sign-up now for our Provider News today at no chargePublished Oct 1 2019 - Administrative

Connecting with Anthem Blue Cross and staying informed will be even easier faster andmore convenient than ever before with our Provider News publicationProvider News is our web tool for sharing vital information with you It features short topicsummaries and links that let you dig deeper into timely critical business information

Important website updates

System changes

Fee Schedules

Medical policy updates

Claims and billing updates

helliphellipand much more Registration isfast and easy There is no limit to the number of subscribers who can register for ProviderNews so you can submit as many e-mail addresses as you like

URL httpsprovidernewsanthemcomcaliforniaarticlesign-up-now-for-our-provider-news-today-at-no-charge-2


Network leasing arrangementsPublished Oct 1 2019 - Administrative

Anthem Blue Cross (Anthem) has network leasing arrangements with a variety oforganizations which we call Other Payors Other payors and affiliates use the Anthemnetwork

Under the terms of your provider agreement members of other payors and affiliates aretreated like Anthem members As such theyrsquore entitled to the same Anthem billingconsiderations including discounts and freedom from balance billing You can obtain theOther Payors list on the Availity web portal at wwwAvailitycom From the Availity siteselect Home gt Anthem California gt Education and Reference Center or email us atCAContractSupportAnthemcom

URL httpsprovidernewsanthemcomcaliforniaarticlenetwork-leasing-arrangements-12

Professional reimbursement policy update Place of ServicePublished Oct 1 2019 - Guideline Updates Reimbursement Policies

Beginning with dates of service on or after January 1 2020 services reported by aprofessional provider with a place of service Telehealth (02) or School (03) will be eligible fornon-office place of service reimbursement

URL httpsprovidernewsanthemcomcaliforniaarticleprofessional-reimbursement-policy-update-place-of-service

Coming soon electronic attachmentsPublished Oct 1 2019 - State amp Federal Medicare

As we prepare for the potential regulatory-proposed standards for electronic attachmentsAnthem will be implementing X12 275 electronic attachment transactions (version 5010) forclaims Standard electronic attachments will bring value to you by eliminating the need for mailingpaper records and reducing processing time overall


Anthem and Availity will pilot electronic data interchange batch electronic attachments withpreviously selected providers Both solicited and unsolicited attachments will be included inour pilots Attachment types

Solicited attachments The provider sends a claim and the payer determines there isnot enough information to process the claim The payer will then send the provider arequest for additional information (currently done via letter) The provider can then sendthe solicited attachment transaction with the documentation requested to process theclaim

Unsolicited attachment When the provider knows that the payer requires additionalinformation to process the claim the provider will then send the X12 837 claim with thePaper Work Included segment tracking number Then the provider will send the X12 275attachment transaction with the additional information and include the tracking numberthat was sent on the claim for matching

What you can doAs we prepare for this change you can help now by having conversations with yourclearinghouse andor electronic healthcare records vendor to determine their ability to set upthe X12 275 attachment transaction capabilities In addition you should be on the lookout for additional information and details about workingwith Anthem and Availity to send attachments via electronic batch

501704MUPENMUB

URL httpsprovidernewsanthemcomcaliforniaarticlecoming-soon-electronic-attachments-11

Prior authorization requirements for Global March MPTAC CCRTconfigurationPublished Oct 1 2019 - State amp Federal Medicare

Click here for additional information about the Prior authorization requirements for GlobalMarch MPTAC CCRT Configuration


URL httpsprovidernewsanthemcomcaliforniaarticleprior-authorization-requirements-for-global-march-mptac-ccrt-configuration-1

Aspire Telehealth Palliative Care programPublished Oct 1 2019 - State amp Federal Medicare

The Aspire Telehealth Palliative Care program provides an additional layer of telephonicsupport to patients facing a serious illness The program is focused on

Helping patients understand their diagnosis

Facilitating conversations with patients and their families around their goals of care

Ensuring patients receive care aligned with their goals and values

The program begins with an initial 30 to 60 minute telephonic assessment by a speciallytrained Aspire Health social worker The conversation in this initial call focuses on buildingrapport and completing a comprehensive assessment This assessment includesunderstanding the patients perception of their illness and current treatment plan Follow-upcalls occur every 2 to 4 weeks typically lasting 15 to 45 minutes with the exact frequencybased on a patients individual need Aspire Healths social workers are supported by a fullinterdisciplinary team of board-certified palliative care physicians nurses and chaplains whoprovide additional telephonic support to patients and their families as needed Patientsenrolled in the telehealth program have access to 247 on-call support The average patientis enrolled in the program for 6 to 8 months with some of the key goals being the ability forpatients to teach-back their current medical situation articulate their health and quality-of-lifegoals and establish a future care plan through either the completion of advanced careplanning documents andor a transition to hospice when appropriate More information is available at wwwaspirehealthcarecom or by calling the 247 Patient ampReferral Hotline at 1-844-232-0500 Aspire Health is an independent company providing telephonic palliative care on behalf ofAnthem Blue Cross 503077MUPENMUB

URL httpsprovidernewsanthemcomcaliforniaarticleaspire-telehealth-palliative-care-program-4


Clinical laboratory improvement amendments for Anthem BlueCrossPublished Oct 1 2019 - State amp Federal Medicare

Click here for additional information about the Clinical Laboratory Improvement Amendmentsfor Anthem Blue Cross

URL httpsprovidernewsanthemcomcaliforniaarticleclinical-laboratory-improvement-amendments-for-anthem-blue-cross

March 2019 medical policies and clinical utilization managementguidelines updatePublished Oct 1 2019 - State amp Federal Medicare

Click here for additional information about the March 2019 Medical Policies and ClinicalUtilization Management Guidelines update

URL httpsprovidernewsanthemcomcaliforniaarticlemarch-medical-policies-and-clinical-utilization-management-guidelines-update

June 2019 medical policies and clinical utilization managementguidelines updatePublished Oct 1 2019 - State amp Federal Medicare

The Medical Policies and Clinical Utilization Management (UM) Guidelines below weredeveloped or revised to support clinical coding edits Several policies and guidelines wererevised to provide clarification only and are not included Existing precertificationrequirements have not changed Please note The Medical Policies and Clinical UMGuidelines below are followed in the absence of Medicare guidance Please share this notice with other members of your practice and office staff


To view a guideline visit the provider website at wwwanthemcomcamedicareprovider NotesupdatesUpdates marked with an asterisk () notate that the criteria may be perceived as morerestrictive

DME00037 mdash added devices that combine cooling and vibration to theinvestigational and not medically necessary statement

LAB00027 mdash added Mediator Release Test to investigational and notmedically necessary statement

LAB00033 mdash clarified investigational and not medically necessary statementto include 4Kscore and AR-V7

OR-PR00003

Clarified medically necessary position statement criteria 2through 4

Added statement that use of prosthetic devices that combineboth a microprocessor controlled knee and foot-ankle prosthesis isconsidered investigational and not medically necessary for allindications

SURG00011

Added new medically necessary and investigational and notmedically necessary statements addressing amniotic membrane-derived products for conjunctival and corneal indications includingKeraSys and Prokera

Added new products to investigational and not medicallynecessary statement

SURG00045

Added erectile dysfunction Peyroniersquos disease and wound repairto the investigational and not medically necessary statement

Revised title

SURG00121 mdash added investigational and not medically necessary statementto address use of transcatheter tricuspid valve repair or replacement for allindications


The following AIM Specialty Healthreg updates were approved on June 6 2019

Advanced imaging

Imaging of the heartOncologic imagingVascular imaging

Proton beam therapyRehabilitative therapies mdash physical therapy occupational

therapy and speech therapy (new)

To view all the updates select the Medical Policies and Clinical Utilization Guidelinesattachment

503273MUPENMUB

URL httpsprovidernewsanthemcomcaliforniaarticlejune-2019-medical-policies-and-clinical-utilization-management-guidelines-update-3

Update 2019 risk adjustment provider trainingsPublished Oct 1 2019 - State amp Federal Medicare

The Medicare Risk Adjustment Regulatory Compliance team at Anthem Blue Cross offerstwo provider training programs regarding Medicare risk adjustment guidelines Informationfor each training is outlined below The Medicare Risk Adjustment Regulatory Complianceteam developed the following two provider trainings This update outlines the training series Medicare risk adjustment and documentation guidance (general)When mdash offered the first Wednesday of each month from December 5 2018 to November6 2019 at 1 to 2 pm Eastern timeLearning objective mdash this training will provide an overview of Medicare Risk Adjustmentincluding the Risk Adjustment Factor and the Hierarchical Condition Category (HCC) Model


with guidance on medical record documentation and codingCredit mdash this activity has been reviewed and is acceptable for up to one prescribed creditby the American Academy of Family Physicians If you are interested in joining us to learn how providers play a critical role in facilitating therisk adjustment process register for one of the monthly training sessions at the link belowhttpsanthemincadobeconnectcomadminshow-event-catalogfolder-id=38826374 Medicare risk adjustment documentation and coding guidance(condition specific)When mdash offered on the fourth Wednesday of every other month from January 23 2019 toNovember 27 2019 from noon to 1 pm Eastern timeLearning objective mdash this is a collaborative learning event with Enhanced Personal HealthCare (EPHC) to provide in-depth disease information pertaining to specific conditionsincluding an overview of their corresponding hierarchical condition categories (HCC) withguidance on documentation and codingCredit mdash this live series activity has been reviewed and is acceptable for credit by theAmerican Academy of Family Physicians For those interested in joining us for this six-part training series please see the list of topicsand scheduled training dates below Red flag HCCs part one mdash Register for recording of live session

Training will cover HCCs most commonly reported in error as identified by CMSchronic kidney disease (stage 5) ischemic or unspecified stroke cerebralhemorrhage aspiration and specified bacterial pneumonias unstable angina andother acute ischemic heart disease and end-stage liver disease Recording will playupon registration

httpsantheminccosocloudcome4i5k4h7cf3jeventregistrationhtml Red Flag HCCs part two mdash Register for recording of live session

Training will cover HCCs most commonly reported in error as identified by CMSatherosclerosis of the extremities with ulceration or gangrene myastheniagravismyoneural disorders and Guillain-Barre syndrome drugalcohol psychosislung and other severe cancers and diabetes with ophthalmologic or unspecifiedmanifestation Recording will play upon registration

httpsantheminccosocloudcomenfndbyedd5geventevent_infohtml


Opioids and more substance abuse and dependence mdash Recording will play uponregistration httpsantheminccosocloudcomekx3tooh22f7eventregistrationhtml Acute chronic and status conditions mdash Recording will play upon registration

httpsantheminccosocloudcomeeq7am1fht49eventregistrationhtml

Diabetes mellitus and other metabolic disorders mdash September 25 2019httpsantheminccosocloudcome9l4sxzbd2lqeventregistrationhtml Behavioral health mdash November 27 2019httpsantheminccosocloudcomeatxsocnqf6heventregistrationhtml

502690MUPENMUB

URL httpsprovidernewsanthemcomcaliforniaarticleupdate-2019-risk-adjustment-provider-trainings-4

Medicare preferred continuous glucose monitorsPublished Oct 1 2019 - State amp Federal Medicare

On January 1 2020 Anthem Blue Cross (Anthem) will implement a preferred edit onMedicare-eligible continuous glucose monitors (CGMs) Currently there are two CGMsystems covered by CMS under the Medicare Advantage Part D (MAPD) benefit these areDexcom and Freestyle Libre The preferred CGM for Medicare Advantage Part D individualmembers covered by Anthem will be Freestyle Libre This edit will only affect members whoare newly receiving a CGM system Members will need to obtain their CGM system from aretail or mail order pharmacy ndash not a durable medical equipment (DME) facility For Dexcomcoverage requests call 1-833-293-0661 503236MUPENMUB

URL httpsprovidernewsanthemcomcaliforniaarticlemedicare-preferred-continuous-glucose-monitors-6

Lowering health risks with no-cost statinsPublished Oct 1 2019 - State amp Federal Medicare


Click here for additional information about Lowering health risks with no-cost statins

URL httpsprovidernewsanthemcomcaliforniaarticlelowering-health-risks-with-no-cost-statins-2

Medical drug clinical criteria updatesPublished Oct 1 2019 - State amp Federal Medicare

On February 22 2019 and March 14 2019 the Pharmacy and Therapeutics (PampT)Committee approved changes to Clinical Criteria applicable to the medical drug benefit forAnthem Blue Cross These policies were developed revised or reviewed to support clinicalcoding edits The Clinical Criteria is publicly available on the provider website and the effective dates willbe reflected in the Clinical Criteria Q1 web posting Visit Clinical Criteria to search forspecific policies

For questions or additional information use this email

502142MUPENMUB

URL httpsprovidernewsanthemcomcaliforniaarticlemedical-drug-clinical-criteria-updates-10

Assisting your patients in managing the Donut HolePublished Oct 1 2019 - State amp Federal Medicare

Click here for additional information about Assisting your patients in managing the DonutHole

URL httpsprovidernewsanthemcomcaliforniaarticleassisting-your-patients-in-managing-the-donut-hole-1


Prior authorization requirements for continuous positive airwaypressure suppliesPublished Oct 1 2019 - State amp Federal Medicare

Click here for additional information about the Prior authorization requirements forcontinuous positive airway pressure supplies

URL httpsprovidernewsanthemcomcaliforniaarticleprior-authorization-requirements-for-continuous-positive-airway-pressure-supplies-1

June 2019 medical policies and clinical utilization managementguidelines updatePublished Oct 1 2019 - State amp Federal Medi-Cal Managed Care

The Medical Policies and Clinical Utilization Management (UM) Guidelines below weredeveloped andor revised to support clinical coding edits Note several policies andguidelines were revised to provide clarification only and are not included Existingprecertification requirements have not changed For markets with carved-out pharmacyservices the applicable listings below are informational only Please share this notice with other members of your practice and office staff To view a guideline visit httpswww11anthemcomca_searchhtml

Notesupdates

Updates marked with an asterisk () notate that the criteria may be perceived as morerestrictive

DME00037 mdash Added devices that combine cooling and vibration to theInvestigational (INV) amp not medically necessary (NMN) statement

LAB00027 mdash Added Mediator Release Test to INVampNMN statementLAB00033 mdash Clarified INVampNMN statement to include 4Kscore and AR-V7OR-PR00003


Clarified medically necessary (MN) position statement criteria 2to 4

Added statement that use of prosthetic devices that combineboth a microprocessor controlled knee and foot-ankle prosthesis isconsidered INVampNMN for all indications

SURG00011

Added new MN and INVampNMN statements addressing amnioticmembrane‑derived products for conjunctival and cornealindications including KeraSys and Prokera

Added new products to INVampNMN statement

SURG00045

Added erectile dysfunction Peyroniersquos disease and wound repairto the INVampNMN statement

Revised title

SURG00121 mdash Added INVampNMN statement to address use of transcathetertricuspid valve repair or replacement for all indications


Advanced Imaging

Imaging of the HeartOncologic ImagingVascular Imaging

Proton Beam TherapyRehabilitative Therapies mdash Physical Therapy Occupational

Therapy and Speech Therapy (New)




New clinical guideline pneumatic compression devices effectiveDecember 1 2019Published Oct 1 2019 - State amp Federal Medi-Cal Managed Care

Anthem Blue Cross will implement the following clinical guideline effective December 12019 to support the review for unnecessary outpatient pneumatic compression devices(PCDs) postoperative orthopedic procedures Federal and state law as well as state contract language and CMS guidelines includingdefinitions and specific contract provisionsexclusions take precedence over these priorauthorization rules and must be considered first when determining coverageNoncompliance with new requirements may result in denied claims CG-DME-46 Pneumatic Compression Devices for Prevention of Deep Vein Thrombosisof the Lower LimbsPCDs are used in clinics or can be purchased or rented for home use for prevention andtreatment of a number of conditions PCD therapy involves the use of an inflatable garmentand an electrical pneumatic pump The garment is intermittently inflated and deflated withcycle times and pressures that vary between devices This document only addresses thehome use of PCDs postoperative outpatient orthopedic procedures for the prevention ofdeep vein thrombosis (DVT) of the lower limbs Note This document addresses devices for the prevention of DVT only Pneumatic devicesused in the treatment or prevention of lymphedema venous insufficiency and therapy formusculoskeletal injuries are not addressed in this document nor are devices for preventionof DVT post major surgical procedures Not medically necessaryThe home use of PCDs for prevention of thromboembolism of the lower limbs followingoutpatient orthopedic surgery is considered not medically necessary for all indications

URL httpsprovidernewsanthemcomcaliforniaarticlenew-clinical-guideline-pneumatic-compression-devices-effective-december-1-2019-8

Reimbursement policy update Early and periodic screeningdiagnostic and treatment (EPSDT)Published Oct 1 2019 - State amp Federal Medi-Cal Managed Care


Policy UpdateChild Health and Disability Program (CHDP)(Effective 113019) Currently the following component services are separately reimbursable from the preventivemedicine evaluation and management (EampM) visit by Anthem Blue Cross (Anthem)However effective November 30 2019 Anthem will no longer reimburse the followingservices separately from the preventive medicine EampM visit

Audiometry screening

Visual equivalent test

For additional information please review the Child Health and Disability Program (CHDP)reimbursement policy at httpsmediprovidersanthemcomca

URL httpsprovidernewsanthemcomcaliforniaarticlereimbursement-policy-update-early-and-periodic-screening-diagnostic-and-treatment-epsdt-2

Regulatory updatesPublished Oct 1 2019 - State amp Federal Medi-Cal Managed Care

Click here for additional information about the Regulatory updates

URL httpsprovidernewsanthemcomcaliforniaarticleregulatory-updates-3

Pharmacy benefit manager change to IngenioRxPublished Oct 1 2019 - State amp Federal Medi-Cal Managed Care

Click here for additional information about the Pharmacy benefit manager change toIngenioRx

URL httpsprovidernewsanthemcomcaliforniaarticlepharmacy-benefit-manager-change-to-ingeniorx-9


March 2019 Medical policies and clinical utilization managementguidelines updatePublished Oct 1 2019 - State amp Federal Medi-Cal Managed Care

The Medical Policies and Clinical Utilization Management (UM) Guidelines below weredeveloped andor revised to support clinical coding edits Note several policies andguidelines were revised to provide clarification only and are not included Existingprecertification requirements have not changed For markets with carved-out pharmacyservices the applicable listings below are informational only Please share this notice with other members of your practice and office staff To view a guideline visit httpswww11anthemcomca_searchhtml Notesupdates

CG-DME-44 mdash Electric Tumor Treatment Field (TTF) was revised to add the useof enhanced computer treatment planning software (such as NovoTal) as notmedically necessary (NMN) in all cases

CG-MED-72 mdash Hyperthermia for Cancer Therapy was revised to clarifymedically necessary (MN) and NMN statements addressing frequency of treatment

CG-SURG-09 mdash Temporomandibular Disorders was revised to clarify MN andNMN criteria and removed requirement for FDA approval of prosthetic implants

CG-SURG-30 mdash Tonsillectomy for Children with or without Adenoidectomy wasrevised to

Spell out number of episodes of throat infections in MN criteria(A1 A2 A3)

Clarify criterion addressing parapharyngeal abscess (B4) to saytwo or more

Add ldquoasthmardquo as potential condition improved by tonsillectomy inMN criteria (C1b)

The following AIM Specialty Healthreg updates took effect on September 282019

Advanced Imaging

Imaging of the BrainImaging of the Extremities


Imaging of the Spine


URL httpsprovidernewsanthemcomcaliforniaarticlemarch-2019-medical-policies-and-clinical-utilization-management-guidelines-update-2

Coming soon electronic attachmentsPublished Oct 1 2019 - State amp Federal Medi-Cal Managed Care

As we prepare for the potential regulatory-proposed standards for electronic attachmentsAnthem will be implementing X12 275 electronic attachment transactions (version 5010) forclaims Standard electronic attachments will bring value to you by eliminating the need for mailingpaper records and reducing processing time overall Anthem and Availity will pilot electronic data interchange batch electronic attachments withpreviously selected providers Both solicited and unsolicited attachments will be included inour pilots Attachment types






Prior authorization requirements for Global March MPTAC CCRTconfigurationPublished Oct 1 2019 - State amp Federal Medi-Cal Managed Care



MCG Care guidelines update and customizationsPublished Oct 1 2019 - State amp Federal Medi-Cal Managed Care

Click here for additional information about the MCG Care Guidelines update andcustomizations

URL httpsprovidernewsanthemcomcaliforniaarticlemcg-care-guidelines-update-and-customizations-6

MCG Care guidelines update and customizationsPublished Oct 1 2019 - State amp Federal Cal MediConnect

Click here for additional information about the MCG Care Guidelines update and


customizations


June 2019 medical policies and clinical utilization managementguidelines updatePublished Oct 1 2019 - State amp Federal Cal MediConnect

Click here for additional information about the June 2019 Medical Policies and ClinicalUtilization Management Guidelines update


Coming soon electronic attachmentsPublished Oct 1 2019 - State amp Federal Cal MediConnect

As we prepare for the potential regulatory-proposed standards for electronic attachmentsAnthem Blue Cross (Anthem) will be implementing X12 275 electronic attachmenttransactions (version 5010) for claims Standard electronic attachments will bring value to you by eliminating the need for mailingpaper records and reducing processing time overall Anthem and Availity will pilot electronic data interchange batch electronic attachments withpreviously selected providers Both solicited and unsolicited attachments will be included inour pilots Attachment types





501704MUPENMUB



Medicare

Medi-Cal Managed Care

Cal MediConnect



18

Aspire Telehealth Palliative Care program 19

Clinical laboratory improvement amendments for Anthem BlueCross

20

March 2019 medical policies and clinical utilization managementguidelines update

20


20

Update 2019 risk adjustment provider trainings 22

Medicare preferred continuous glucose monitors 24

Lowering health risks with no-cost statins 24

Medical drug clinical criteria updates 25

Assisting your patients in managing the Donut Hole 25

Prior authorization requirements for continuous positive airwaypressure supplies

25


26

New clinical guideline pneumatic compression deviceseffective December 1 2019

28

Reimbursement policy update Early and periodic screeningdiagnostic and treatment (EPSDT)

28

Regulatory updates 29

Pharmacy benefit manager change to IngenioRx 29

March 2019 Medical policies and clinical utilization managementguidelines update

30



32






33



























Region County







































































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB





33



























Region County







































































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB



























Region County







































































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB















Region County







































































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB




Region County







































































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB
































































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB





















































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB














































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB






































































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB




























































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB

















































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB











































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB




































System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB






















System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB








System changes

Fee Schedules




















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB

















501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB







501704MUPENMUB



























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB

























OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB
















OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB







OR-PR00003



SURG00011



SURG00045


Revised title




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB




Advanced imaging





503273MUPENMUB














502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB












502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB






502690MUPENMUB












502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB








502142MUPENMUB











Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB








Notesupdates







SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB





SURG00011



SURG00045


Revised title



Advanced Imaging


































Advanced Imaging






















customizations











501704MUPENMUB






























Advanced Imaging






















customizations











501704MUPENMUB

























Advanced Imaging






















customizations











501704MUPENMUB













Advanced Imaging






















customizations











501704MUPENMUB






















customizations











501704MUPENMUB














customizations











501704MUPENMUB



customizations











501704MUPENMUB





501704MUPENMUB


Documents

California Provider News...October 2019 Anthem Blue Cross Provider News - California Page 6 of 34 We are also very pleased to announce the expansion of our Individual EPO on and off