December 1, 2022
December 2022 Anthem Provider News - Nevada
Filter By: AllCommercial
Administrative
CommercialDecember 1, 2022
Attention lab providers: COVID-19 update regarding reimbursement (MAC)CommercialDecember 1, 2022
IngenioRx will become CarelonRx on January 1, 2023CommercialDecember 1, 2022
Member assessment of PCP after-hours messaging in 2022CommercialDecember 1, 2022
Member’s assessment of behavioral healthcare after-hours messaging in 2022CommercialDecember 1, 2022
CAA: Timely updates help keep our provider directories currentCommercialDecember 1, 2022
Coordination of careCommercialDecember 1, 2022
Important information about utilization managementCommercialDecember 1, 2022
Case management programCommercialDecember 1, 2022
Clinical practice and preventive health guidelines available on anthem.comCommercialDecember 1, 2022
Members’ rights and responsibilitiesCommercialDecember 1, 2022
Signature requirements for laboratory orders or requisitionsPolicy Updates
CommercialDecember 1, 2022
Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviewsCommercialDecember 1, 2022
Medical Policy and Clinical UM Guidelines notification letterCommercialDecember 1, 2022
AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)CommercialDecember 1, 2022
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List updateCommercialDecember 1, 2022
Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility (MAC)Material adverse change (MAC)
CommercialDecember 1, 2022
Reimbursement policy update: Multiple Surgery - FacilityCommercialDecember 1, 2022
Reimbursement policy update: Bundled Services and Supplies - ProfessionalProducts & Programs
CommercialDecember 1, 2022
New Convenient Care HMO Plan and updated Prefix Reference ListCommercialDecember 1, 2022
Specialty pharmacy updates - December 2022 (MAC)CommercialDecember 1, 2022
Pharmacy information available on the provider websiteState & Federal
MedicaidDecember 1, 2022
Keep up with Medicaid newsPlease continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
- Prior authorization requirement changes effective January 1, 2023
- Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
- Prior authorization and notification requirements
- The Mental Health Practitioner Hub
- Prior authorization updates for medications billed under the medical benefit
Medicare AdvantageDecember 1, 2022
Personal home helper benefit endingMedicare AdvantageDecember 1, 2022
2023 Medicare Advantage service area and benefit updatesMedicare AdvantageDecember 1, 2022
Keep up with Medicare newsPlease continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
To view this publication online:
Visit https://providernews.anthem.com/nevada/publications/december-2022-anthem-provider-news-nevada-1588
Or scan this QR code with your phone