November 1, 2022

November 2022 Anthem Provider News - Nevada

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Administrative

AdministrativeCommercialNovember 1, 2022

Support documentation for AIM prior authorization requests

AdministrativeCommercialNovember 1, 2022

CAA: Keep your provider directory information up to date

AdministrativeCommercialNovember 1, 2022

Update to the professional fee schedule

Digital SolutionsCommercialNovember 1, 2022

COVID-19 vaccines for youth toolkit available
This communication applies to the Medicaid program from Anthem Blue Cross and Blue Shield Healthcare Solutions and the Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.

Digital SolutionsCommercialNovember 1, 2022

Remote EMR access service for HEDIS
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.

Digital SolutionsCommercialNovember 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

Education & Training

Education & TrainingCommercialMedicare AdvantageNovember 1, 2022

Participating lab referrals help our members most
This communication applies to the Medicare Advantage and Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.

Policy Updates

Medical Policy & Clinical GuidelinesCommercialNovember 1, 2022

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

Reimbursement PoliciesCommercialNovember 1, 2022

Correction to reimbursement policy: Place of Service (Facility) (MAC)
Material adverse change (MAC)

Products & Programs

PharmacyCommercialNovember 1, 2022

Specialty pharmacy updates - November 2022

State & Federal

State & FederalMedicaidNovember 1, 2022

Alcohol use disorders often coexist with psychiatric disorders
Medicaid

State & FederalMedicaidNovember 1, 2022

Important information about utilization management
Medicaid

State & FederalMedicaidNovember 1, 2022

Keep up with Medicaid news
Medicaid
  • Medical drug benefit Clinical Criteria updates
  • Prior authorization requirement changes effective November 1, 2022

State & FederalMedicare AdvantageNovember 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates
Medicare Advantage

State & FederalMedicare AdvantageNovember 1, 2022

Personalized Match
Medicare Advantage

State & FederalMedicare AdvantageNovember 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)
Medicare Advantage
Material adverse change (MAC)

State & FederalMedicare AdvantageNovember 1, 2022

Keep up with Medicare news
Medicare Advantage