June 30, 2020
On June 15, 2020, the California Department of Health Care Services (DHCS) launched a new Medi-Cal website. The initial...
CMA and a number of specialty medical associations have asked Anthem Blue Cross to delay implementation of a new policy...
June 23, 2020
Anthem notified physicians that it will soon require that specialty pharmacy medications administered in the office or ...
June 19, 2020
OptumRx—the pharmacy benefit provider for UnitedHealthcare—will reinstate its mandatory e-prescribing policy for contro...
May 29, 2020
DHCS is currently working on a plan to transition all pharmacy services to Medi-Cal Rx and has selected Magellan as the...
April 17, 2020
OptumRx—the pharmacy benefit provider for UnitedHealthcare—has temporarily suspended its mandatory e-prescribing policy...
Due to the COVID-19 public health emergency, the implementation date for UnitedHealthcare’s new Medicare Advantage Emer...
March 13, 2020
UnitedHealthcare is introducing a new narrow network product, the Doctors Plan, into the California marketplace.
March 12, 2020
The CPT ® 2020 code set added two new codes for self-measured blood pressure (SMBP), effective January 1, 2020. Medica...
March 02, 2020
A new ICD-10 emergency code (U07.1, 2019-nCoV acute respiratory disease) has been established by the World Health Organ...
DMHC is investigating Anthem's failure to comply with state law requiring health plans to maintain accurate directories...
February 20, 2020
Blue Shield of California has announced upcoming changes to its physician fee schedule that will take effect on April 1...
February 12, 2020
Noridian, the California Medicare contractor, has recently advised that it will begin reprocessing claims impacted by...
As of January 1, 2020, TRICARE now covers annual 3-D mammography screenings through its provisional coverage program. ...
February 11, 2020
Beginning March 1, 2020, the OptumRx home delivery pharmacy will no longer fill prescriptions received by hard copy, fa...
February 05, 2020
Beginning February 10, 2020, Anthem Blue Cross will begin using Availity’s medical attachment functionality to request ...
January 29, 2020
Thousands of cases of e-cigarette, or vaping, product use associated lung injury (EVALI) have been reported from across...
CMS has opened the data submission period for MIPS eligible clinicians who participated in the 2019 performance period ...
January 22, 2020
Physicians are reminded that the open enrollment period for Covered California ends on January 31, with coverage effect...
January 17, 2020
California’s 2019-2020 fiscal year budget contained significant new funding for new programs including the value-based ...
January 06, 2020
Effective January 1, 2020, Anthem Blue Cross has imposed a new billing requirement on providers for all drug related cl...
January 02, 2020
DHCS) is now accepting 2019 attestations for the Medi-Cal EHR Incentive Program.
January 01, 2020
Beginning January 1, 2020, providers must use only the new MBI number for Medicare transactions regardless of the date ...
December 16, 2019
CMS has developed a new rebuttal process for providers whose Medicare enrollments have been deactivated.
December 11, 2019
In August 2019, the Department of Health Care Services (DHCS) issued its final telehealth policy.
UnitedHealthcare Community Plan of California recently announced the launch of its new Medicare Advantage plan, UnitedH...
OptumRx, the pharmacy benefit provider for UnitedHealthcare,
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