Nevada
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

New Convenient Care HMO Plan and updated Prefix Reference List

December 2022 Anthem Provider News - Nevada Products & Programs Dec 1, 2022

Specialty pharmacy updates - December 2022 (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Nevada Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Nevada Pharmacy Dec 1, 2022

Specialty pharmacy updates - November 2022

November 2022 Anthem Provider News - Nevada Pharmacy Nov 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.
October 2022 Anthem Provider News - Nevada Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News - Nevada Pharmacy Oct 1, 2022

October 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
October 2022 Anthem Provider News - Nevada Pharmacy Oct 1, 2022

New Back Pain Management Program

September 2022 Anthem Provider News - Nevada Products & Programs Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Nevada Behavioral Health Aug 1, 2022

Pharmacy information available on the provider website

August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News - Nevada Pharmacy Jul 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Products & Programs Jun 1, 2022

Updated AIM Musculoskeletal Program effective September 1, 2022 site of care reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Products & Programs Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Nevada Behavioral Health Jun 1, 2022

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Pharmacy Jun 1, 2022

May 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)

May 2022 Anthem Provider News - Nevada Pharmacy May 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

Drug fee schedule update

April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

April 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

Updated Preventive Care Guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Nevada Products & Programs Mar 1, 2022

March 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Nevada Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Nevada Pharmacy Mar 1, 2022

Cancer Care Navigator

February 2022 Anthem Provider News - Nevada Products & Programs Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News - Nevada Pharmacy Feb 1, 2022

February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
February 2022 Anthem Provider News - Nevada Pharmacy Feb 1, 2022

Drug fee schedule update

January 2022 Anthem Provider News - Nevada Pharmacy Jan 1, 2022

Company to retire Blue Precision program on December 31, 2021

December 2021 Anthem Provider News - Nevada Products & Programs Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Nevada Products & Programs Dec 1, 2021

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Nevada Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Nevada Products & Programs Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Nevada Pharmacy Nov 1, 2021

Nevada specialty pharmacy updates (MAC)

Material adverse change (MAC)
November 2021 Anthem Provider News - Nevada Pharmacy Nov 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Nevada Pharmacy Oct 1, 2021

October 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Nevada Pharmacy Oct 1, 2021

September 2021 updates for specialty pharmacy are available (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Nevada Pharmacy Sep 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

August 2021 updates for specialty pharmacy are available

Material adverse change (MAC): prior authorization updates
August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Nevada Products & Programs Jul 1, 2021

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

July 2021 Anthem Provider News - Nevada Products & Programs Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
June 2021 Anthem Provider News - Nevada Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News - Nevada Pharmacy Jun 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Pharmacy Jun 1, 2021

Reminder Guided Access HMO effective January 1, 2020 Clark, Nye/Expanded to Washoe January 1, 2021

May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) Enhanced Reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021 – Initial Evaluations and Site of Service reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Updates for Specialty pharmacy effective August 1, 2021 (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

UPDATE--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Apr 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

Interactive bilingual website taking action for our health

April 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News and Important Updates -- Nevada Behavioral Health Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021 (MAC)

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Mar 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Mar 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Feb 1, 2021

Designated specialty pharmacy network (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Feb 1, 2021

Anthem to update formulary list for commercial health plan pharmacy benefit

February 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Feb 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
January 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Jan 1, 2021

IngenioRx Introduces New Pharmacy Network in 2021

January 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Jan 1, 2021

Anthem expands hospice benefit

December 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Dec 1, 2020

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Dec 1, 2020

Case Management Program

December 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Anthem Provider News and Important Updates -- Nevada Behavioral Health Dec 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
December 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Dec 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Nov 1, 2020

IngenioRx Introduces New Pharmacy Network in 2021

November 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Nevada Behavioral Health Oct 14, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

Updated Coverage for Breast Cancer prevention medications

October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

FDA approvals and expedited pathways used -- New Molecular Entities (NMEs)

October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Oct 1, 2020

Site of Care* medical necessity reviews expand to numerous surgical procedures begin December 1, 2020 (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Sep 1, 2020

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Sep 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Sep 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Aug 1, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

August 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Aug 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Aug 1, 2020

UPDATE: New Go Live Date for Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures

July 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Jul 1, 2020
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