February 1, 2021
February 2021 Anthem Provider News and Important Updates -- Nevada
Administrative
CommercialJanuary 31, 2021
New provider directory indicator for telehealth servicesCommercialJanuary 31, 2021
Non-participating lab referralsPolicy Updates
CommercialJanuary 31, 2021
Medical Policy and Clinical UM Guideline Updates (MAC)Material Adverse Change (MAC)
CommercialJanuary 31, 2021
Emergency Room Transfers (Facility Reimbursement Policy) -- New (MAC)Material Adverse Change (MAC)
CommercialJanuary 31, 2021
Treatment Rooms with Office Evaluation and Management Services (Facility Reimbursement Policy) -- New (MAC)Material Adverse Change (MAC)
Products & Programs
CommercialJanuary 31, 2021
Anthem prior authorization updates for specialty pharmacy are available (MAC)Material Adverse Change (MAC)
CommercialJanuary 31, 2021
Anthem to update formulary list for commercial health plan pharmacy benefitCommercialJanuary 31, 2021
Pharmacy information available on anthem.comState & Federal
MedicaidJanuary 31, 2021
CAHPS® surveyMedicaidJanuary 31, 2021
Disease Management/Population Health programMedicaidJanuary 31, 2021
Radiotherapies and radioimmunotherapies will require prior authorizationMedicaidJanuary 31, 2021
Medical drug benefit Clinical Criteria updatesMedicaidJanuary 31, 2021
Keep up with Medicaid newsMedicare AdvantageJanuary 31, 2021
Medical drug benefit Clinical Criteria updatesMedicare AdvantageJanuary 31, 2021
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