October 1, 2022

October 2022 Anthem Provider News - Nevada

Filter By: AllCommercial

Administrative

AdministrativeCommercialOctober 1, 2022

Drug fee schedule update

AdministrativeCommercialOctober 1, 2022

The Provider Learning Hub is here

AdministrativeCommercialOctober 1, 2022

CAA: Review your online provider directory information

AdministrativeCommercialOctober 1, 2022

National Accounts 2023 Pre-certification list

Policy Updates

Policy UpdatesCommercialOctober 1, 2022

Change notification to Medical Policies and Clinical UM Guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialOctober 1, 2022

Monkeypox and smallpox vaccines: Product code on claims
This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).

Reimbursement PoliciesCommercialOctober 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing (Professional)(MAC)
Material adverse change (MAC)

Products & Programs

PharmacyCommercialOctober 1, 2022

October 2022 specialty pharmacy updates (MAC)
Material adverse change (MAC)

PharmacyCommercialOctober 1, 2022

Pharmacy information available on provider website

PharmacyCommercialOctober 1, 2022

IngenioRx will become CarelonRx on January 1, 2023
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.

State & Federal

State & FederalMedicare AdvantageOctober 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicare

State & FederalMedicaidOctober 1, 2022

Keep up with Medicaid news
Medicaid

State & FederalMedicaidOctober 1, 2022

Prior authorization updates for medications billed under the medical benefit
Medicaid

State & FederalMedicaidOctober 1, 2022

Prior authorization updates for medications billed under the medical benefit
Medicaid

State & FederalMedicaidOctober 1, 2022

Monkeypox resources and recommendations for our care providers
Medicaid

State & FederalMedicaidOctober 1, 2022

Attention Provider Type 12 (Hospital, Outpatient): Cognitive Assessment and Care Planning Procedure Code 99483 May Be Billed

Medicaid

A message from Nevada Department of Health and Human Services, Division of Health Care Financing and Policy

State & FederalMedicaidOctober 1, 2022

New specialty pharmacy medical step therapy requirements (MAC)

Medicaid
Material adverse change (MAC)

State & FederalMedicaidOctober 1, 2022

Health information exchange with HealtHIE Nevada
Medicaid

State & FederalMedicaidOctober 1, 2022

Members’ Rights and Responsibilities section
Medicaid

State & FederalMedicaidOctober 1, 2022

Complex Care Management program
Medicaid

State & FederalMedicare AdvantageOctober 1, 2022

Keep up with Medicare news
Medicare Advantage

State & FederalMedicare AdvantageOctober 1, 2022

Consultation codes

Medicare Advantage

State & FederalMedicare AdvantageOctober 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)

State & FederalMedicare AdvantageOctober 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare
Material adverse change (MAC)

State & FederalMedicare AdvantageOctober 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
Medicare Advantage