Nevada
Provider Communications

October 2022 Anthem Provider News - Nevada

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Title Category

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

Administrative

National Accounts 2023 Pre-certification list

Administrative

CAA: Review your online provider directory information

Administrative

The Provider Learning Hub is here

Administrative

Drug fee schedule update

Administrative

IngenioRx will become CarelonRx on January 1, 2023

This communication applies to the Medicaid program from Anthem Blue Cross and Blue Shield Healthcare Solutions and the Medicare Advantage and Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.
Pharmacy

Pharmacy information available on provider website

Pharmacy

October 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
Pharmacy

Change notification to Medical Policies and Clinical UM Guidelines (MAC)

Material adverse change (MAC)

Policy Updates

Monkeypox and smallpox vaccines: Product code on claims

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).
Medical Policy & Clinical Guidelines

Reimbursement policy update: Multiple and Bilateral Surgery Processing (Professional)(MAC)

Material adverse change (MAC)
Reimbursement Policies

Reimbursement policy update: Three-Dimensional (3D) Radiology Services (Professional & Facility)

Reimbursement Policies

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

Federal Employee Plan (FEP)

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

Medicare Advantage
Medicare

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare
Material adverse change (MAC)

Medicare

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicare

Medicare

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)

Medicare

Consultation codes

Medicare Advantage

Medicare

Keep up with Medicare news

Medicare Advantage
Medicare

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicaid
Medicaid

Policy Update: Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicaid
Medicaid

Complex Care Management program

Medicaid
Medicaid

Members’ Rights and Responsibilities section

Medicaid
Medicaid

Health information exchange with HealtHIE Nevada

Medicaid
Medicaid

New specialty pharmacy medical step therapy requirements (MAC)

Medicaid
Material adverse change (MAC)

Medicaid

Attention Provider Type 12 (Hospital, Outpatient): Cognitive Assessment and Care Planning Procedure Code 99483 May Be Billed

Medicaid

A message from Nevada Department of Health and Human Services, Division of Health Care Financing and Policy

Medicaid

Monkeypox resources and recommendations for our care providers

Medicaid
Medicaid

Prior authorization updates for medications billed under the medical benefit

Medicaid
Medicaid

Prior authorization updates for medications billed under the medical benefit

Medicaid
Medicaid

Keep up with Medicaid news

Medicaid
Medicaid
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