MedicaidAdministrativeLow impact
[California] Ensuring quality healthcare: Member rights and responsibilities for care providers
Anthem BCBS·CA·Quality Measures
Effective date
May 8, 2026
We identified it
May 9, 2026
Summary
This policy clarifies member rights and responsibilities under Anthem Blue Cross Medicaid plans in California, emphasizing the collaborative nature of quality healthcare between patients, providers, and benefit plans. Billing teams should ensure staff are familiar with Section 5 of the provider manual regarding member services, education, and wellness responsibilities. No billing workflow changes are required.
Action Required
By June 30, 2026: Billing and administrative staff should review Section 5 (Member Services, Education, Wellness) of the Anthem Blue Cross California provider manual at https://providers.anthem.com/ca > Resources > Provider Manuals to understand member rights and responsibilities. No system changes or claim processing modifications are required. This is informational guidance to support quality care collaboration.