Nevada
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

2018 Utilization Management Affirmative Statement concerning utilization management decisions

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Access to more claim denial information is now self-service

April 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2021

Accessing remittance inquiry beginning December 1, 2018

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

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

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

Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) to conduct post-payment reviews of distinct procedural services modifiers

September 2018 Anthem Provider Newsletter - NV Medicaid Aug 31, 2018

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

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

Anthem Blue Cross and Blue Shield Healthcare Solutions in Nevada provider spotlight

Medicaid: Doluce David Ezeanolue, MD
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Anti-VEGF Medical Step Therapy Notice

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

Appointment availability and after-hours access requirements

July 2019 Anthem Provider News and Important Updates - Nevada Medicaid Jul 1, 2019

Aspire Health for Medicaid members in need of palliative care

June 2021 Anthem Provider News - Nevada Medicaid Jun 1, 2021

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Attention: updated laboratory fee schedule

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

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

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

Avastin Biosimilars Medical Step Therapy Notice

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

Behavioral health areas of expertise profile survey

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Behavioral health therapy session limitations

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

CAHPS education for providers

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

CAHPS® survey

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

Cervical length measurement by transvaginal ultrasound

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

Claims Requiring Additional Documentation – Reimbursement Policy Update

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

Clinical Criteria updates

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

Clinical Criteria updates

May 2019 Anthem Provider Newsletter - Nevada Medicaid May 1, 2019

Clinical Utilization Management Guidelines update

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Coding Spotlight - Obesity

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

Coding Spotlight - Pregnancy: A provider’s guide to diagnose and code for pregnancy

September 2018 Anthem Provider Newsletter - NV Medicaid Aug 31, 2018

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

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

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

Coding spotlight: diabetes - provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Coding spotlight: HEDIS MY 2021

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

Coding spotlight: HIV and AIDS

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

Coding Spotlight: Hypertension -- A providers’ guide for coding

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Coding spotlight: mental disorders in childhood

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

April 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2021

Coding spotlight: providers guide to coding for behavioral health disorders

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

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Coding spotlight: provider’s guide to coding respiratory

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

Coding spotlight: substance use disorders and smoking

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

Coding spotlight: tips and best practices for compliance

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

Coming soon: electronic attachments

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Complex Case Management program

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

Complex case management program

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Complex Case Management program

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Continuing medical education/Continuing education unit opportunities

June 2021 Anthem Provider News - Nevada Medicaid Jun 1, 2021

Controlling High Blood Pressure (CBP)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Sep 1, 2020

Correction to a prior authorization update

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Correction: Cervical length measurement by transvaginal ultrasound

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

COVID-19 Virus Talking Points - Medicaid

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

CPT II obstetrical billing information

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

Digital transactions cut administrative tasks in half

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

Disease Management can help you care for patients with chronic health care needs

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

Disease Management/Population Health program

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

EDI Gateway migration

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

Electronic claim payment reconsideration

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

Electronic claim payment reconsideration

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Electronic Data Interchange migration to Availity

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

FDA approvals and expedited pathways used -- new molecular entities

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

Follow-Up After Hospitalization for Mental Illness

June 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jun 1, 2020

Foundations Counseling Center

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

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

Important information about utilization management

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

Important information about utilization management

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Important information about utilization management

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Important information about utilization management

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Important reminder – coding requirements for reimbursement for early elective deliveries

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

Improving the patient experience

March 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Mar 1, 2020

Improving the Patient Experience continuing medical education

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

Improving the Patient Experience continuing medical education

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

InterQual 2019 update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Intervention for blood sugar control in pregnant women with diabetes

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Iron Infusion Medical Step Therapy Notice

April 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2021

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Keep up with Medicaid news

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

Keep up with Medicaid news

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

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

Keep up with Medicaid news

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

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

Keep up with Medicaid news

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

Keep up with Medicaid news

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

Keep up with Medicaid news

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

Keep up with Medicaid news

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

Keep up with Medicaid news

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

Keep up with Medicaid news

July 2019 Anthem Provider News and Important Updates - Nevada Medicaid Jul 1, 2019

Keep up with Medicaid news

June 2021 Anthem Provider News - Nevada Medicaid Jun 1, 2021

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April 2021 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2021

Keep up with Medicaid news

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Keep up with Medicaid news

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Keep up with Medicaid news

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Keep up with Medicaid news

View these Medicaid articles:
Iron infusion step therapy
Iron infusion prior authorization update
September 2021 Anthem Provider News - Nevada Medicaid Sep 1, 2021

Keep up with Medicaid news

June 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jun 1, 2020

Keep up with Medicaid news

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

Keep up with Medicaid news

March 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Mar 1, 2020

Keep up with Medicaid news

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

Keep up with Medicaid news

September 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Sep 1, 2020
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