Nevada
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Access patient-specific drug benefit information through EMR

October 2018 Anthem Provider Newsletter - NV Pharmacy Oct 1, 2018

Access requirements for behavioral healthcare services

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

Additional Support Available for Members with Rare Conditions

August 2018 Anthem Provider Newsletter - NV Products & Programs Aug 17, 2018

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

Anthem accepts electronic prior authorization requests for prescription medications online

December 2018 Anthem Provider Newsletter - NV Pharmacy Dec 1, 2018

Anthem Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

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

Anthem Announces Early Launch of IngenioRx

Anthem Announces Early Launch of IngenioRx Pharmacy Jan 30, 2019

Anthem applies daily morphine equivalent dosing limit

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem enhances process for submitting Behavioral Health Authorizations

June 2020 Anthem Provider News and Important Updates -- Nevada Behavioral Health Jun 1, 2020

Anthem expands hospice benefit

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

Anthem expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

August 2018 Anthem Important Updates - NV Pharmacy Aug 17, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

October 2018 Anthem Important Updates - NV Pharmacy Oct 1, 2018

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Anthem Important Updates - NV Pharmacy Oct 1, 2018

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list

May 2019 Anthem Important Updates - Nevada Pharmacy May 1, 2019

Anthem expands specialty pharmacy pre-certification list

October 2018 Anthem Important Updates - NV Pharmacy Oct 1, 2018

Anthem expands specialty pharmacy pre-certification list

August 2018 Anthem Important Updates - NV Pharmacy Aug 17, 2018

Anthem expands specialty pharmacy prior authorization list

April 2019 Anthem Important Updates - Nevada Pharmacy Apr 1, 2019

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

June 2019 Anthem Important Updates - Nevada Pharmacy Jun 1, 2019

Anthem expands specialty pharmacy prior authorization list (MAC)

Material Adverse Change (MAC)
September 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Sep 1, 2019

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Provider Newsletter - NV Products & Programs Oct 1, 2018

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

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

Material Adverse Change (MAC)
July 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Jul 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

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

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

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

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

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

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

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

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

Material Adverse Change (MAC)
June 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Jun 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 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

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

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

Anthem removes drugs from specialty pharmacy clinical site of care (level of care) drug list

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

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

Anthem specialty pharmacy medical step therapy drug list- clarification

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

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

April 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2020

Anthem to update drug lists supporting commercial health plans

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem to update formulary list for commercial health plan pharmacy benefit

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News and Important Updates - Nevada Pharmacy Feb 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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

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 updates formulary lists for commercial health plan pharmacy benefit

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

Anthem’s Individualized Care Program supports palliative care for commercial members

August 2018 Anthem Provider Newsletter - NV Products & Programs Aug 17, 2018

April 2022 specialty pharmacy updates (MAC)

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

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

Blue High Performance Network name changing for 2022

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

Cancer Care Navigator

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

Case Management Program

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

Case Management Program

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

Case Management Program

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Certain specialty medication precertification requests may require additional documentation

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

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Aug 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Nov 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Clinical Practice and Preventive Health Guidelines available on the web

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Coding Tip for Psychological and Neuropsychological Testing

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

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

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

Company to retire Blue Precision program on December 31, 2021

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

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Coordination of Care

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Correction to February 2022 specialty pharmacy updates (MAC)

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

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

December 2021 specialty pharmacy updates (MAC)

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

Designated specialty pharmacy network (MAC)

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

Drug code billing reminder

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

Drug fee schedule update

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

Drug fee schedule update

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

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

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

February 2022 specialty pharmacy updates (MAC)

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

Guided Access HMO effective January 1, 2023

February 2023 Anthem Provider News - Nevada Products & Programs Feb 1, 2023

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

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

Important Information about Utilization Management

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Important reminder regarding Specialty Pharmacy clinical site of care program

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

Important update on Botox® for Anthem members

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

Important update to Anthem’s commercial drug lists

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

Important update to Anthem’s commercial drug lists

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

IngenioRx Introduces New Pharmacy Network in 2021

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

IngenioRx Introduces New Pharmacy Network in 2021

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

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

Integrated Care Model for plans purchased on the Health Insurance Marketplace / Nevada Health Link benefits patients and physicians

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Interactive bilingual website taking action for our health

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

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 Anthem Provider Newsletter - NV Pharmacy Dec 1, 2018

June 2021 updates for specialty pharmacy are available

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

June 2021 updates for specialty pharmacy are available

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

June 2022 specialty pharmacy updates (MAC)

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

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

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

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020 (MAC)

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

March 2022 specialty pharmacy updates (MAC)

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

May 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)

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

Member Satisfaction with Behavioral Health Outpatient Services

February 2019 Anthem Provider Newsletter - NV Behavioral Health Feb 1, 2019

Members’ Rights and Responsibilities

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

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
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