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

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

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

HEDIS 2019 Federal Employee Program® medical record request requirements

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

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

CAHPS® survey

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

Disease Management/Population Health program

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

Radiotherapies and radioimmunotherapies will require prior authorization

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicaid news

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

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

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

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

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

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

Coding spotlight: Provider’s guide to coding for cardiovascular conditions

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

Medical drug benefit Clinical Criteria updates -- May 2020

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Dec 1, 2020

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates -- June 2020

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020

CAHPS education for providers

December 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Dec 1, 2020

Prior authorization requirements for 0200T and 0201T

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020

Anti-VEGF Medical Step Therapy Notice

December 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Dec 1, 2020

Prior authorization requirements for E0482

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020

Avastin Biosimilars Medical Step Therapy Notice

December 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Dec 1, 2020

Coding spotlight: tips and best practices for compliance

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020

Important reminder – coding requirements for reimbursement for early elective deliveries

December 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Dec 1, 2020

New specialty pharmacy medical step therapy requirements

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020

Patient360 enhancement for medical providers

December 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Dec 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020

Keep up with Medicaid news

December 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Dec 1, 2020

New specialty pharmacy medical step therapy requirements

March 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Mar 1, 2021

Attention: updated laboratory fee schedule

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

March 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Mar 1, 2021

Keep up with Medicaid news

November 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Nov 1, 2020
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