Policy UpdatesCommercialMarch 1, 2024

Nevada referral management policy

All members on a product with referral management will have an attributed PCP within the product parameters.

  • Nevada uses participating medical group (PMG) designation for member attribution.
  • Nevada uses PMG assignment, or member selection happens at the PMG level when there is a group practice in place.

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Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NVBCBS-CM-048555-23

ATTACHMENTS: Nevada referral management policy (pdf - 0.74mb)

PUBLICATIONS: March 2024 Provider Newsletter