Nevada
Provider Communications

October 2019 Anthem Provider News and Important Updates - Nevada

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Title Category

Anthem specialty pharmacy medical step therapy drug list- clarification

Pharmacy

Important update to Anthem’s commercial drug lists

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Anthem launches additional changes to anthem.com

Administrative

Drug fee schedule update

Administrative

National Accounts 2020 Pre-certification list

Administrative

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

Administrative

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

Administrative

Place of Service (Professional Reimbursement Policy - Update) (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Federal Employee Program® Specialty Pharmacy Clinical Site of Care prior authorization review (MAC)

Material Adverse Change (MAC)
Federal Employee Plan (FEP)

Pre-certification request turnaround times for the Federal Employee Program

Federal Employee Plan (FEP)

US Antibiotic Awareness Week is November 11-18, 2019

Federal Employee Plan (FEP)

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Update: 2019 risk adjustment provider trainings

Medicare

Medicare preferred continuous glucose monitors

Medicare

Medical drug Clinical Criteria updates

Medicare

Prior authorization requirements changes effective November 1, 2019

Medicare

MCG Care Guidelines update and customizations

Medicare

Keep up with Medicare news

Medicare

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

Medicaid

Prior authorization changes

Medicaid

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

Medicaid

MCG Care Guidelines update and customizations

Medicaid

Keep up with Medicaid news

Medicaid
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