Nevada
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Federal Employee Program® Specialty Pharmacy Clinical Site of Care prior authorization review (MAC)

Material Adverse Change (MAC)
October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification request turnaround times for the Federal Employee Program

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

2021 FEP® Benefit information available online

January 2021 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Jan 1, 2021

Federal Employee Program® Expands Specialty Pharmacy Prior Authorization List (MAC)

Material Adverse Change (MAC)
October 2020 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Oct 1, 2020

Change to the Federal Employee Program® clinical grievance and appeal address

March 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Mar 1, 2022

Coordination of Benefits for an FEP® member

December 2018 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Dec 1, 2018

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Jul 1, 2020

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Jul 1, 2019

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 1, 2022

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Apr 1, 2021

2020 FEP® Benefit information available online

January 2020 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Jan 1, 2020

Mailing Address for Federal Employee Program® (FEP) Paper Claims and Claims Related Correspondence

August 2018 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Aug 17, 2018

2022 FEP® Benefit information available online

January 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jan 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) May 1, 2022

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Feb 1, 2019

Join us for an FEP Quality Learning Program Live Webinar

Everything you need to know about using CPT II Codes
May 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) May 1, 2022

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Apr 1, 2020

Change in email submission of service requests for Federal Employee Program® members

Material adverse change (MAC)
August 2021 Anthem Provider News - Nevada Federal Employee Plan (FEP) Aug 1, 2021

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Apr 1, 2022

CAHPS® survey

February 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Disease Management/Population Health program

February 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Feb 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Radiotherapies and radioimmunotherapies will require prior authorization

February 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Feb 1, 2021

Drug screening and testing policy changes

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Feb 1, 2021

Experience the difference: Your Provider Experience team

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Keep up with Medicaid news

February 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Feb 1, 2021

New process for making requests to the state to consider covering non-covered codes

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Keep up with Medicaid news

Medicaid

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Prior authorization updates for medications billed under the medical benefit

Updates for medication codes billed under the medical benefit
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Notifications on the Availity Portal

January 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Jan 1, 2021

Prior authorization changes

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Resources to support your pregnant and postpartum patients and their families

January 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Jan 1, 2021

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Coding spotlight: providers guide to coding for behavioral health disorders

October 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Oct 1, 2020

Medical drug benefit Clinical Criteria updates

January 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Jan 1, 2021

MCG Care Guidelines update and customizations

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

What Matters Most online training course: improving patient experience

October 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Oct 1, 2020

FDA approvals and expedited pathways used -- new molecular entities

January 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Jan 1, 2021

Keep up with Medicaid news

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Oct 1, 2020

Coding spotlight: HEDIS MY 2021

January 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Jan 1, 2021

Keep up with Medicaid news

October 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Oct 1, 2020

Keep up with Medicaid news

January 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Jan 1, 2021

Services requiring prior authorization

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Prior authorization requirements for Darzalex (daratumumab) drug

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Prior authorization requirements for Cabazitaxel (Jevtana)

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Online registration processes for electronic remittance advices and electronic funds transfers

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) fights opioid addiction

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Coding Spotlight - Obesity

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Provider surveys

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Medicaid eLearning is here!

Medicaid
March 2022 Anthem Provider News - Nevada Medicaid Mar 1, 2022

It is CAHPS survey time!

Medicaid
March 2022 Anthem Provider News - Nevada Medicaid Mar 1, 2022

Urinary tract infection toolkits are on the way

Medicaid
March 2022 Anthem Provider News - Nevada Medicaid Mar 1, 2022

New Strategic Provider System will launch in April 2022

Medicaid
March 2022 Anthem Provider News - Nevada Medicaid Mar 1, 2022

Importance of provider directory accuracy

Medicaid
March 2022 Anthem Provider News - Nevada Medicaid Mar 1, 2022

Keep up with Medicaid news

September 2019 Anthem Provider News and Important Updates - Nevada Medicaid Sep 1, 2019

Accessing remittance inquiry beginning December 1, 2018

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Pharmacy management information

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Claims Requiring Additional Documentation – Reimbursement Policy Update

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Remittance Inquiry tool available December 1, 2018

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Vaginal birth after cesarean shared decision-making aid available

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Anthem adopts MCG care guidelines for physical health - acute care services and behavioral health services

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Prior authorization requirements for Interferon beta-1a

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Coding spotlight: substance use disorders and smoking

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Procedure codes may be denied

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Quarterly pharmacy formulary change notice

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Improving the Patient Experience continuing medical education

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Quality Management information

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

EDI Gateway migration

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Verifying and updating your provider information

February 2020 Anthem Provider News and Important Updates - Nevada Medicaid Feb 1, 2020

Coding spotlight: provider’s guide to coding respiratory

February 2020 Anthem Provider News and Important Updates - Nevada Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Anthem Provider News and Important Updates - Nevada Medicaid Feb 1, 2020

Keep up with Medicaid news

February 2020 Anthem Provider News and Important Updates - Nevada Medicaid Feb 1, 2020

Keep up with Medicaid news

August 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Aug 1, 2020

Non-payment remittance advice enhancements

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

New service types added to Availity

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Update your information

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Keep up with Medicaid news

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Complex Case Management program

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Important information about utilization management

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Members’ Rights and Responsibilities Statement

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Submitting prior authorizations is getting easier

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Coding spotlight: Provider’s guide to code social determinants of health

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020
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