Policy Updates Prior AuthorizationMedicaidJune 30, 2023

Prior authorization update for select DME

The following durable medical equipment (DME) codes will require prior authorization (PA) effective August 1, 2023. 

DME codes

 

 

E0316

L5220

L5814

E0986

L5280

L5828

L2034

L5301

L5840

L2036

L5321

L5845

L2037

L5590

L5968

L2628

L5613

L5979

L5050

L5649

L5980

L5100

L5700

L5981

L5200

L5701

L5988

L5210

L5702

L6100

Providers should review the list of codes that will require PA. For code-specific PA requirements, visit providers.anthem.com/NV.

PA requests can be submitted through Availity* at availity.com or by calling Provider Services at 844-396-2330.

If you have questions about this communication or need assistance with any other item, contact your local Provider Relationship Management representative or call Provider Services at 844-396-2330.

* Availity, LLC is an independent company providing administrative support services on behalf of the health plan.

NVBCBS-CD-022906-23

PUBLICATIONS: July 2023 Provider Newsletter