May 1, 2020

May 2020 Anthem Provider News and Important Updates -- Nevada

Administrative

AdministrativeCommercialApril 30, 2020

COVID-19 information repository for Anthem care Providers

AdministrativeCommercialApril 30, 2020

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

AdministrativeCommercialApril 30, 2020

Non-participating lab referrals

AdministrativeCommercialApril 30, 2020

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

Policy Updates

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

Medical Policy and Clinical UM Guidelines notification letter (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

Pre-Service/Prior Authorization Clinical Review Update -- May 2020 (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Sleep Disorder Management (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- MSK Interventional Pain Management (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

Reimbursement PoliciesCommercialApril 30, 2020

Claims requiring additional documentation (Facility Reimbursement Policy -- Update for Inpatient and Outpatient) (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialApril 30, 2020

Reminder about System Updates

Products & Programs

PharmacyCommercialApril 30, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)
Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageApril 30, 2020

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

State & FederalMedicare AdvantageApril 30, 2020

Multi-dose packaging

State & FederalMedicare AdvantageApril 30, 2020

Keep up with Medicare news

State & FederalMedicaidApril 30, 2020

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

State & FederalMedicaidApril 30, 2020

Disease Management can help you care for patients with chronic health care needs

State & FederalMedicaidApril 30, 2020

Medical drug benefit Clinical Criteria updates December 2019

State & FederalMedicaidApril 30, 2020

Postpartum incentives

State & FederalMedicaidApril 30, 2020

CPT II obstetrical billing information

State & FederalMedicaidApril 30, 2020

Keep up with Medicaid news