ACCMA News

Anthem Required to Publish Effective Dates for Clinical Policies

The Department of Managed Health Care (DMHC) is requiring Anthem Blue Cross to publish effective dates for their medical and clinical utilization management policies, and to clearly indicate whether a policy applies in California, as the result of a California Medical Association (CMA) inquiry in March. Physicians and patients had been unable to determine which of Anthem's published policies were effective and what medical services were covered. CMA is continuing to monitor Anthem's compliance with the DMHC order. To read more, go to http://www.cmanet.org/news/detail/?article=dmhc-directs-anthem-to-publish-effective-dates.