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Anthem BCBSMedicaid · Administrative · Provider Bulletin · CAMedium impact

[California] Updated provider manual is now available

Act
by Jul 15, 2026
Effective date
Jul 1, 2026
Identified
Jul 2, 2026

Summary

Anthem Blue Cross has released an updated California Medi-Cal provider manual effective July 1, 2026. The billing team must review the updated manual to identify any changes to billing requirements, coverage policies, prior authorization rules, or documentation standards that may affect claims processing and reimbursement.

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What to do

by Jul 15, 2026 · 7 steps
01Billing team must access and review the updated California Medi-Cal provider manual at https://providers.anthem.com/ca and the detailed announcement on the Provider News site (https://providernews.anthem.com/california/articles/updated-provider-manual-is-now-available-30738).
02Identify all policy changes relevant to your practice's billing workflows, coding requirements, and authorization processes.
03Update billing software, fee schedules, prior authorization rules, and staff workflows accordingly.
04Document all changes in your compliance tracking system.
05Contact Anthem Medi-Cal Customer Care at 800-407-4627 (TTY 711) outside L.A.
06County or 888-285-7801 (TTY 711) inside L.A.
07County for clarification on specific billing impacts.
If missed: Failure to implement required changes may result in claim denials or compliance violations.

Original notice

[California] Updated provider manual is now available
providernews.anthem.com · Always check the source before changing claims.
View original ↗

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