Nevada
Provider Communications

March 2023 Anthem Provider News - Nevada

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Title Category

Drug fee schedule update

Administrative

Reminder: Updated Carelon Medical Benefits Management, Inc. Musculoskeletal Program effective April 1, 2023 - Site of care reviews

Administrative

New policy for EMR clinical data sharing and ADT notifications (MAC)

Material adverse change
Administrative

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

Administrative

Prefix reference list - Nevada

Administrative

Advancing Mental Health Equity for Youth & Young Adults

Administrative

HPV Vaccination Starts at 9 Provider and Health Systems Toolbox

Administrative

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

Administrative

March is National Colorectal Cancer Awareness Month

Administrative

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update

Material adverse change
Administrative

Enhancing Provider News website and email communications

Digital Tools

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

Products & Programs

Change notification to Medical Policies and Clinical UM Guidelines

Material adverse change
Medical Policy & Clinical Guidelines

Reimbursement policy update: Modifiers 25 and 57 - Professional

Reimbursement Policies

Specialty pharmacy updates for March 2023 (MAC)

Material adverse change (MAC)

Pharmacy

Pharmacy information available on our provider website

Pharmacy

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

Controlling High Blood Pressure and Submitting Compliant Readings

Medicare

Informational Update Modifier Usage

Medicare

Shared savings and transition care management after inpatient discharges

Medicare

Annual planned visits

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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