Nevada
Provider Communications

December 2022 Anthem Provider News - Nevada

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Title Category

IngenioRx will become CarelonRx on January 1, 2023

Administrative

Attention lab providers: COVID-19 update regarding reimbursement (MAC)

Material Adverse Change (MAC)
Administrative

Member’s assessment of behavioral healthcare after-hours messaging in 2022

Administrative

Member assessment of PCP after-hours messaging in 2022

Administrative

CAA: Timely updates help keep our provider directories current

Administrative

Coordination of care

Administrative

Important information about utilization management

Administrative

Case management program

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Members’ rights and responsibilities

Administrative

Signature requirements for laboratory orders or requisitions

Administrative

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

Policy Updates

New Convenient Care HMO Plan and updated Prefix Reference List

Products & Programs

Specialty pharmacy updates - December 2022 (MAC)

Material adverse change (MAC)
Pharmacy

Pharmacy information available on the provider website

Pharmacy

Medical Policy and Clinical UM Guidelines notification letter

Material Adverse Change (MAC)
Policy Updates

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility (MAC)

Material adverse change (MAC)

Reimbursement Policies

Reimbursement policy update: Multiple Surgery - Facility

Reimbursement Policies

Reimbursement policy update: Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
Reimbursement Policies

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
Medicaid

Personal home helper benefit ending

Medicare

2023 Medicare Advantage service area and benefit updates

Medicare

Keep up with Medicare news

Medicare Advantage

Please continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
Medicare
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