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Health Education Anthem Blue Cross and Blue Shield

Details: Health Education — Helping Our Members. At Anthem Blue Cross and Blue Shield, we are proud of our joint efforts with community-based health organizations to maximize healthcare services for our members. These service organizations include: We advocate a community approach to health education and outreach activities and have a proven record of

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Disease Management/Population Health Anthem Blue …

Details: A holistic, member-centric approach to disease management focusing on the needs of the member through telephonic and community-based resources. Motivational interviewing techniques used in conjunction with member self-empowerment. The ability to manage more than one disease to meet the changing healthcare needs of our member population.

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Preventive Healthcare Guidelines Anthem

Details: Good health begins with good lifestyle habits and regular exams. Preventive healthcare guidelines help providers keep members on track with necessary screenings and exams based on age and gender. We review preventive healthcare guidelines from nationally accepted sources and recommend the online resources listed.

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Disease Management/Population Health Anthem Blue …

Details: Disease Management/Population Health Program (DM/PHP) is based on a system of coordinated care management interventions and communications designed to assist physicians and others in managing members with chronic conditions.

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Behavioral Health Reference Guide

Details: a Behavioral Health Treatment Data Sharing Form or a copy of the PMP notification letter within five business days of the initial diagnostic interview. Clinical documentation should be completed and maintained in accordance with the Indiana Administrative Code (IAC) and is subject to audit verification.

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COVID-19 and Telehealth Billing Guide for Medi-Cal Managed

Details: customers and health care provider partners. Anthem will continue to follow policies from the Department of Health Care Services (DHCS). To help address care providers’ questions, Anthem has developed the following interim billing guidelines for Medi-Cal Managed Care (Medi-Cal) providers in the Anthem network during this state of emergency.

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Case Management California Provider

Details: They or you, their health care provider, thinks case management might help the member. They have just gotten out of the hospital and need help with follow-up visits to other doctors. They are going to the emergency room (ER) often for non-urgent care that could be handled by you, their health care provider.

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Clinical Criteria for Utilization Management Decisions

Details: health plans in establishing the medical necessity of requests for substance abuse treatment precertifications, and in the Florida health plan as part of the discharge planning. Please refer to the grid below to determine state specific criteria to be utilized in reviews. Additional state

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