CommercialOctober 1, 2019
October 2019 Anthem Provider News and Important Updates - Nevada
Administrative
CommercialSeptember 30, 2019
Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted membersCommercialSeptember 30, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continuesCommercialSeptember 30, 2019
National Accounts 2020 Pre-certification listCommercialSeptember 30, 2019
Drug fee schedule updateCommercialSeptember 30, 2019
Anthem launches additional changes to anthem.comPolicy Updates
CommercialSeptember 30, 2019
Place of Service (Professional Reimbursement Policy - Update) (MAC)Products & Programs
CommercialSeptember 30, 2019
US Antibiotic Awareness Week is November 11-18, 2019CommercialSeptember 30, 2019
Pre-certification request turnaround times for the Federal Employee ProgramCommercialSeptember 30, 2019
Federal Employee Program® Specialty Pharmacy Clinical Site of Care prior authorization review (MAC)CommercialSeptember 30, 2019
Anthem specialty pharmacy medical step therapy drug list- clarificationCommercialSeptember 30, 2019
Pharmacy information available on anthem.comCommercialSeptember 30, 2019
Important update to Anthem’s commercial drug listsState & Federal
Medicare AdvantageSeptember 30, 2019
Medical Policies and Clinical Utilization Management Guidelines updateMedicaidSeptember 30, 2019
Keep up with Medicaid newsMedicaidSeptember 30, 2019
MCG Care Guidelines update and customizationsMedicaidSeptember 30, 2019
Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapyMedicaidSeptember 30, 2019
Prior authorization changesMedicaidSeptember 30, 2019
New pregnancy notification process using the Availity Portal Benefit Look-Up ToolMedicare AdvantageSeptember 30, 2019
Keep up with Medicare newsMedicare AdvantageSeptember 30, 2019
MCG Care Guidelines update and customizationsMedicare AdvantageSeptember 30, 2019
Prior authorization requirements changes effective November 1, 2019Medicare AdvantageSeptember 30, 2019
Medical drug Clinical Criteria updatesMedicare AdvantageSeptember 30, 2019
Medicare preferred continuous glucose monitorsMedicare AdvantageSeptember 30, 2019
Update: 2019 risk adjustment provider trainingsTo view this publication online:
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