Nevada
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Keep up with Medicare news

Medicare Advantage

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

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

Update: 2019 risk adjustment provider trainings

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

Medicare preferred continuous glucose monitors

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

Medical drug Clinical Criteria updates

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

Prior authorization requirements changes effective November 1, 2019

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

MCG Care Guidelines update and customizations

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

Keep up with Medicare news

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

Prior authorization requirements for the below codes

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

Medical drug benefit Clinical Criteria updates (June 2020)

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

Medical drug benefit Clinical Criteria updates

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

Provider transparency update

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

2020 Medicare risk adjustment provider trainings

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

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

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

Prior authorization requirements for the below codes

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

Electrical Workers Local 357 Health and Welfare Trust Fund in Nevada moves to Medicare Advantage plan from Anthem Blue Cross and Blue Shield (Anthem)

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

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

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

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

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

Medicare pharmacy and prescriber home starts January 2019

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

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

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

Social determinants of health support expanding with GroundGame Health

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

Keep up with Medicare news

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

Keep up with Medicare news

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

Electronic claim payment reconsideration

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

Keep up with Medicare news

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

Keep up with Medicare news

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

Annual wellness visits for Medicare Advantage members

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Coming soon: electronic attachments

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

Pharmacy newsletter

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Clinical Criteria updates

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

Clinical Criteria updates

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Customizations to the 23rd edition of the MCG Care Guidelines

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

Provider notification for utilization management authorization rule operations workgroup item 2662

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

New Strategic Provider System will launch in April 2022

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Keep up with Medicare news

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Pharmacy benefit manager change to IngenioRx

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

Keep up with Medicare news

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

New Medicare Advantage provider service phone number beginning January 1, 2019

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

2019 Medicare Advantage individual benefits and formularies

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

CMS Medicare Preclusion List effective April 1, 2019

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

When and how to initiate Medicare Advantage reopenings

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

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

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

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

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

Keep up with Medicare news

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

Reimbursement Policy Update Modifier 62: Co-Surgeons

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

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

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

Verifying and updating your provider information

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

New MCG Care Guidelines 24th edition

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

Keep up with Medicare news

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

New service types added to Availity

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

New Reimbursement Policy: Drug Screen Testing

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

Policy Update: Drug Screen Testing

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

AIM Specialty Health programs may require documentation

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

Special needs plans -- provider training required

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

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Keep up with Medicare news

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

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Clinical Criteria updates

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Electronic data interchange process

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Submitting prior authorizations is getting easier

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Keep up with Medicare news

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

New York City Medicare Advantage announcement

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Keep up with Medicare news

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

2020 Special Needs Plans

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

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

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

Medical drug benefit Clinical Criteria updates

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

Digital transactions cut administrative tasks in half

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

Keep up with Medicare news

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

Preferred continuous glucose monitors

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

Patient360 enhancement for medical providers

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

Provider Chat -- A fast, easy way to get your questions answered

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

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

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

Outpatient Rehabilitation Program transitioning to AIM

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

Medical drug benefit Clinical Criteria updates -- June 2020

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

2021 Medicare Advantage individual benefits and formularies

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

FDA approvals and expedited pathways used -- new molecular entities

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

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

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

New provider directory indicator for telehealth services

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

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Home health billing guidelines for contracted providers

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

Digital transactions cut administrative tasks in half

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Provider notice for COVID-19 testing

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Keep up with Medicare news

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

Keep up with Medicare news

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Please evaluate statin use for Medicare Advantage members with diabetes, cardiovascular disease

November 2018 Anthem Provider Newsletter - NV Medicare Nov 1, 2018

Dual Eligible Special Needs Plans -- provider training required

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Keep up with Medicare news

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