Nevada
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

Coming soon: electronic attachments

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Coming soon: electronic attachments

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Keep up with Medicaid news

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates Effective date August 12, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates Effective date September 5, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

InterQual 2019 update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Behavioral health therapy session limitations

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Keep up with Medicaid news

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site of Care prior authorization review (MAC)

Material Adverse Change (MAC)
October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification request turnaround times for the Federal Employee Program

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

MCG Care Guidelines update and customizations

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Keep up with Medicare news

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Prior authorization changes

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

MCG Care Guidelines update and customizations

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Keep up with Medicaid news

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Coming soon: electronic attachments

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Keep up with Medicaid news

September 2019 Anthem Provider News and Important Updates - Nevada Medicaid Sep 1, 2019

New service types added to Availity

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

Special needs plans -- provider training required

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Update your information

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Keep up with Medicaid news

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News and Important Updates - Nevada Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News and Important Updates - Nevada Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Provider News and Important Updates - Nevada Medicare Jul 1, 2019

Appointment availability and after-hours access requirements

July 2019 Anthem Provider News and Important Updates - Nevada Medicaid Jul 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

July 2019 Anthem Provider News and Important Updates - Nevada Medicaid Jul 1, 2019

Keep up with Medicaid news

July 2019 Anthem Provider News and Important Updates - Nevada Medicaid Jul 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Nevada Medicare Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Nevada Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Provider Newsletter - Nevada Medicare Jun 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Members’ Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Intervention for blood sugar control in pregnant women with diabetes

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Keep up with Medicaid news

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Fall prevention tips

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Modifier 63: Procedure Performed on Infants Less Than 4 kg - Policy 06-015

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Clinical Criteria updates

May 2019 Anthem Provider Newsletter - Nevada Medicaid May 1, 2019

Keep up with Medicaid news

May 2019 Anthem Provider Newsletter - Nevada Medicaid May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Provider surveys

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Dual Eligible Special Needs Plans -- provider training required

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Prior authorization requirements for Sublocade

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Coding spotlight: diabetes - provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

My Diverse Patients: a website to support your diverse patients

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Retroactive rate adjustments

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Feb 1, 2019

Reminder - Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019
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