Nevada
Provider Communications

Articles

Title Publication Category Date

Correction to a prior authorization update

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

Complex case management program

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

Important information about utilization management

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

Medical policies and clinical utilization management guidelines update

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

Members’ rights and responsibilities statement

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

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

Prior authorization requirement changes effective September 1, 2021: UM AROW 1327

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

Let’s Vaccinate

Medicaid: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1837

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

Behavioral health areas of expertise profile survey

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

Keep up with Medicaid news

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

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Essential information you need to submit EDI corrected claims

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

New digital provider enrollment tool added to Availity for Nevada

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
June 2021 Anthem Provider News - Nevada Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com

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

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Pharmacy Jun 1, 2021

Keep your contact information current

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

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

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

Regular check-ins with your clearinghouse could affect timely filing

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

Change notification to medical policies and clinical utilization management guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Reimbursement policy update: Emergency Department: Leveling of Evaluation and Management Services (facility)

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

Evaluation and management services correct coding (professional)

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

Anthem to enhance claim edits for outpatient facility claims

June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

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

Continuing medical education/Continuing education unit opportunities

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

Provider education program survey: Your voice counts!

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

Aspire Health for Medicaid members in need of palliative care

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

MCG care guidelines 25th edition

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

Keep up with Medicaid news

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

Medical policies and clinical utilization management guidelines update

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

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

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

MCG care guidelines 25th edition

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

Keep up with Medicare news

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

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - Nevada Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and implicit bias.
Deconstructing Bias Forum invitation for Nevada providers Administrative May 21, 2021

Reminder Guided Access HMO effective January 1, 2020 Clark, Nye/Expanded to Washoe January 1, 2021

May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) Enhanced Reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021 – Initial Evaluations and Site of Service reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Updates for Specialty pharmacy effective August 1, 2021 (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

A helpful and complete guide to covered well-child visits

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

May is National High Blood Pressure Education Month

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

Non-participating lab referrals

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

Provider bulletins for medical and itemized bill attachments

Electronic Solutions @ Your Fingertips
May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Send larger digital attachments through Availity

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

Resources to support diverse patients and communities

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

Appointment scheduler application

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

Referring to network DME providers for Negative Pressure Wound Therapy helps members save on out-of-pocket costs

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

2021 Affirmative Statement Regarding Utilization Management Decisions

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

Update to AIM Specialty Health Oncologic Imaging Clinical Appropriateness Guidelines

May 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines May 1, 2021

Reimbursement policy reminder: Readmission (Facility)

May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Reimbursement policy update: Frequency Editing (Professional)

May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation (Facility) (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

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

Foundations Counseling Center

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

Updates to the AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Keep up with Medicaid news

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

Maximizing efficient, high quality COVID-19 screenings

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

Keep up with Medicare news

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

UPDATE--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Apr 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

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

Change Notification to Provider and Facility Manual effective July 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

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

MCG Care Guidelines 25th Edition (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Apr 1, 2021

Clinic Charges (Facility Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies Apr 1, 2021

Newborn Inpatient Stays (Facility Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies Apr 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

Prior authorization updates for specialty pharmacy -- April

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

Iron Infusion Medical Step Therapy Notice

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

Prior authorization required for specialty pharmacy -- May

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

Access to more claim denial information is now self-service

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

Keep up with Medicaid news

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

Access to more claim denial information is now self-service

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

Does your practice offer telehealth services? Let us know!

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

Interactive bilingual website taking action for our health

April 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

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

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

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

Maximizing efficient, high quality COVID-19 screenings

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

Payer Spaces: name change announcement

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

Understanding Availity Roles for Electronic Data Interchange (EDI)

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

Make the change to digital authorization/referral and hospital admission notifications using EDI

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

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

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

Chat directly with a Prior Authorization Specialist

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

UPDATE: For Commercial Providers regarding the AIM Sleep Therapy Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

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

Join Anthem in talking about racism and its impact on health

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

Drug fee schedule update

April 2021 Anthem Provider News and Important Updates -- Nevada Administrative Apr 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

In-Office Assessment program

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

Oncology Dose Reduction Program beginning July 1, 2021

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

Clinical Criteria Updates Notification November 2020

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

Clinical Criteria Updates Notification December 2020

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

Keep up with Medicare news

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021
Previous Page Page 2 of 11 Next Page