Nevada
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Updated Preventive Care Guidance regarding screening colonoscopies

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

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Nevada Products & Programs Mar 1, 2023

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

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

Anthem expands hospice benefit

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

Case Management Program

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

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

New Back Pain Management Program

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

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

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

Update regarding annual wellness visits for ACA-compliant health plans

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

Interactive bilingual website taking action for our health

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

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Nevada Products & Programs Nov 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

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

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

Let’s Vaccinate

April 2023 Provider News - Nevada Products & Programs Mar 31, 2023

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

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

Provider Transparency Update

March 2019 Anthem Provider Newsletter - NV Products & Programs Mar 1, 2019

Pay Doctor Bill (provider payment option) - General FAQ

April 2023 Provider News - Nevada Products & Programs Mar 31, 2023

Options for helping members avoid ER visits during flu season

November 2018 Anthem Provider Newsletter - NV Products & Programs Nov 1, 2018

Cancer Care Navigator

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

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

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

Additional Support Available for Members with Rare Conditions

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

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

June 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Jun 1, 2020

Updated Networks at a Glance documents now available

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

Guided Access HMO effective January 1, 2023

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

Early Intervention Services Program

Early Intervention Services Program Products & Programs Feb 17, 2023

New Convenient Care HMO Plan and updated Prefix Reference List

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

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

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

Case Management Program

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

ConditionCare Program Benefits Patients and Physicians

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

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

Coordination of Care

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

Important Information about Utilization Management

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

Pharmacy information available on anthem.com

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

Members’ Rights and Responsibilities

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

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

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

Clinical Practice and Preventive Health Guidelines available on the web

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

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

Pharmacy information available on anthem.com

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

Pharmacy information available at anthem.com

April 2019 Anthem Provider Newsletter - Nevada Pharmacy Apr 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

Specialty pharmacy updates for March 2023 (MAC)

Material adverse change (MAC)

March 2023 Anthem Provider News - Nevada Pharmacy Mar 1, 2023

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

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

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

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

Anthem expands specialty pharmacy clinically equivalent drug list

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

Anthem expands specialty pharmacy prior authorization list

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

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 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 expands specialty pharmacy pre-certification list

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

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

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

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

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

Updated Coverage for HIV PrEP medications

July 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Jul 1, 2020

Specialty pharmacy updates - February 2023 (MAC)

Material adverse change (MAC)

February 2023 Anthem Provider News - Nevada Pharmacy Feb 1, 2023

Anthem Announces Early Launch of IngenioRx

Anthem Announces Early Launch of IngenioRx Pharmacy Jan 30, 2019

Pharmacy information available on anthem.com

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

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

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

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

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

Pharmacy information available on anthem.com

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

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

Pharmacy information available on anthem.com

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

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

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

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

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

June 2021 Anthem Provider News - Nevada Pharmacy Jun 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

Pharmacy information available on provider website

October 2022 Anthem Provider News - Nevada Pharmacy Oct 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

June 2021 updates for specialty pharmacy are available

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

October 2022 specialty pharmacy updates (MAC)

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

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 expands specialty pharmacy pre-certification list

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

Clinical criteria updates for specialty pharmacy

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

Clinical Criteria coding updates for specialty pharmacy are available

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

Pharmacy information available on anthem.com

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

US Antibiotic Awareness Week

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

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 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 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
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