Nevada
Provider Communications

Articles

Title Publication Category Date

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Nevada Administrative Jan 8, 2021

Guidelines for Reporting Timed Units: Physical Medicine and Rehab Services (Professional Reimbursement Policy) -- Update (MAC)

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

Modifier Rules (Professional Reimbursement Policy) -- Update (MAC)

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

Unit Frequency Maximum for Drugs and Biologic Substances (Professional Reimbursement Policy) -- Update (MAC)

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

Multiple Diagnostic Imaging Procedures (Professional Reimbursement Policy) -- Update (MAC)

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

System updates impacting Professional reimbursement policies for 2021

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

Outpatient System updates for Facility reimbursement policies 2021

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

2021 FEP® Benefit information available online

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

Notifications on the Availity Portal

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

Resources to support your pregnant and postpartum patients and their families

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

Medical drug benefit Clinical Criteria updates

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

FDA approvals and expedited pathways used -- new molecular entities

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

Coding spotlight: HEDIS MY 2021

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

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

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

Keep up with Medicare news

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

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

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

IngenioRx Introduces New Pharmacy Network in 2021

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

Availity Attachment Tools for Anthem and Affiliate Payers -- Live Webinars

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

New features added to Interactive Care Reviewer

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

Procedure Searches in Find Care -- New Sort Option

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

Find out in minutes why your claim denied

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

Self-service, digital transactions are fast and easy

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

New Blue HPN® plans in effect

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

Evaluation and Management Changes 2021

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

It is almost CAHPS survey time!

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

Drug fee schedule update

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

MCG care guidelines 24th Edition Customization (MAC)

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

Medical Policy and Clinical UM Guidelines notification letter (MAC)

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

Frequency Editing (Professional Reimbursement Policy) -- Update (MAC)

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

Anthem expands hospice benefit

December 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Dec 1, 2020

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

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

Anthem makes going digital easy with the Provider Digital Engagement Supplement

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

Access to claim denial information is now self-service

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

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

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

Coordination of Care

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

2-minute videos to engage patients about preventive care

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

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Dec 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

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

2021 Medicare Advantage individual benefits and formularies

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

Case Management Program

December 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Dec 1, 2020

Access requirements for behavioral healthcare services

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

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

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

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

New Blue HPN® plans go live on January 1, 2021

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

Anthem contracted Air Ambulance providers in Nevada

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

Medical Access Standards

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

Members’ Rights and Responsibilities

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

Important Information about Utilization Management

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

PCP after-hours access requirements

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

AIM Specialty Health Clinical Appropriateness Guidelines update -- Cardiology (MAC)

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Dec 1, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging (MAC)

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Dec 1, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Radiation Oncology (MAC)

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Dec 1, 2020

Bundled Services and Supplies (Professional Reimbursement Policy) -- Update

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

Digital transactions cut administrative tasks in half

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

CAHPS education for providers

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

Anti-VEGF Medical Step Therapy Notice

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

Avastin Biosimilars Medical Step Therapy Notice

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

Patient360 enhancement for medical providers

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

Keep up with Medicaid news

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

Digital transactions cut administrative tasks in half

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

Patient360 enhancement for medical providers

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

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

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Nov 1, 2020

IngenioRx Introduces New Pharmacy Network in 2021

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

US Antibiotic Awareness Week

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

Availity Attachment Tools for Anthem and Affiliate Payers -- Live Webinars

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

Get the full picture of your patient’s health through their smartphone

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

Digital transactions cut administrative tasks in half

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

Non-participating lab referrals

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

Clinical Laboratory Improvement Amendments (CLIA) Number -- Additional Information

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

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Nov 1, 2020

REMINDER: Post-service reviews using AIM

November 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Nov 1, 2020

Documentation Standards for Episodes of Care (Professional Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies Nov 1, 2020

Modifier Rules (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies Nov 1, 2020

Bundled Services and Supplies (Professional Reimbursement Policy) – Update (MAC)

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies Nov 1, 2020

Claims editing update for ICD-10-CM Excludes 1 notes

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

Medical drug benefit Clinical Criteria updates -- May 2020

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

Medical drug benefit Clinical Criteria updates -- June 2020

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

Preferred continuous glucose monitors

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

Prior authorization requirements for 0200T and 0201T

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

Prior authorization requirements for E0482

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

Medical drug benefit Clinical Criteria updates -- June 2020

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

Coding spotlight: tips and best practices for compliance

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

FDA approvals and expedited pathways used -- new molecular entities

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

New specialty pharmacy medical step therapy requirements

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

Digital transactions cut administrative tasks in half

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

Attention: updated laboratory fee schedule

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

Keep up with Medicaid news

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

Digital transactions cut administrative tasks in half

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

Keep up with Medicare news

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

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Nevada Behavioral Health Oct 14, 2020

Drug fee schedule update

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