October 1, 2020
October 2020 Anthem Provider News and Important Updates -- Nevada
Administrative
CommercialSeptember 30, 2020
National Accounts 2021 Pre-certification listCommercialSeptember 30, 2020
Commercial Risk Adjustment (CRA) Reporting Update: New guidance on telephone-only service CPT codesCommercialSeptember 30, 2020
Drug fee schedule updateCommercialSeptember 30, 2020
Electronic member ID cards available on the Availity PortalCommercialSeptember 30, 2020
What Matters Most: Improving the Patient ExperienceCommercialSeptember 30, 2020
New Medical Claim Attachment Webinars: Register TodayCommercialSeptember 30, 2020
New Blue HPN® network included in plans available for employee open enrollment Fall 2020Policy Updates
CommercialSeptember 30, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayedCommercialSeptember 30, 2020
REMINDER: Expansion of AIM Musculoskeletal Program Effective November 1, 2020CommercialSeptember 30, 2020
Reimbursement policy update -- Claims Requiring Additional Documentation policy (Facility)CommercialSeptember 30, 2020
Laboratory and Venipuncture Services (Professional Reimbursement Policy) -- Update (MAC)Products & Programs
CommercialSeptember 30, 2020
Federal Employee Program® Expands Specialty Pharmacy Prior Authorization List (MAC)CommercialSeptember 30, 2020
Anthem prior authorization updates for specialty pharmacy are available (MAC)CommercialSeptember 30, 2020
Anthem updates formulary lists for commercial health plan pharmacy benefitCommercialSeptember 30, 2020
Pharmacy information available on anthem.comCommercialSeptember 30, 2020
FDA approvals and expedited pathways used -- New Molecular Entities (NMEs)CommercialSeptember 30, 2020
Updated Coverage for Breast Cancer prevention medicationsState & Federal
Medicare AdvantageSeptember 30, 2020
Keep up with Medicare newsMedicare AdvantageSeptember 30, 2020
Social determinants of health support expanding with GroundGame HealthMedicare AdvantageSeptember 30, 2020
Prior authorization requirements for the below codesMedicare AdvantageSeptember 30, 2020
Provider transparency updateMedicare AdvantageSeptember 30, 2020
Medical drug benefit Clinical Criteria updates (June 2020)Medicare AdvantageSeptember 30, 2020
Prior authorization requirements for the below codesMedicaidSeptember 30, 2020
Keep up with Medicaid newsMedicaidSeptember 30, 2020
Social determinants of health support expanding with GroundGame HealthMedicaidSeptember 30, 2020
What Matters Most online training course: improving patient experienceMedicaidSeptember 30, 2020
Coding spotlight: providers guide to coding for behavioral health disordersTo view this publication online:
Or scan this QR code with your phone