Nevada
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Preventing claims denials: shingles vaccine

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare Aug 1, 2021

Change in email submission of service requests for Federal Employee Program® members

Material adverse change (MAC)
August 2021 Anthem Provider News - Nevada Federal Employee Plan (FEP) Aug 1, 2021

Keep up with Medicare news

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare Aug 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1576

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

Keep up with Medicaid news

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

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Keep up with Medicare news

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

New policy: modifier 90: reference (outside) laboratory and pass-through billing

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

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

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

Coding spotlight: mental disorders in childhood

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

Keeping up with routine vaccination during COVID-19

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

What matters most: improving the patient experience

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

Resources to support your diverse patient panel

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

Correction to a prior authorization update

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

Complex case management program

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

Important information about utilization management

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

Medical policies and clinical utilization management guidelines update

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

Members’ rights and responsibilities statement

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

Anthem Blue Cross and Blue Shield Healthcare Solutions in Nevada provider spotlight

Medicaid: Doluce David Ezeanolue, MD
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1327

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

Let’s Vaccinate

Medicaid: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1837

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

Behavioral health areas of expertise profile survey

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

Keep up with Medicaid news

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

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 1, 2021

Continuing medical education/Continuing education unit opportunities

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

Provider education program survey: Your voice counts!

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

Aspire Health for Medicaid members in need of palliative care

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

MCG care guidelines 25th edition

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

Keep up with Medicaid news

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

Medical policies and clinical utilization management guidelines update

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

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

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

MCG care guidelines 25th edition

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

Keep up with Medicare news

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

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Foundations Counseling Center

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Updates to the AIM Advanced Imaging Clinical Appropriateness Guidelines

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Keep up with Medicaid news

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021

Keep up with Medicare news

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

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

Prior authorization updates for specialty pharmacy -- April

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

Iron Infusion Medical Step Therapy Notice

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

Prior authorization required for specialty pharmacy -- May

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

Access to more claim denial information is now self-service

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

Keep up with Medicaid news

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

Access to more claim denial information is now self-service

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

Does your practice offer telehealth services? Let us know!

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

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Apr 1, 2021

In-Office Assessment program

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

Oncology Dose Reduction Program beginning July 1, 2021

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

Clinical Criteria Updates Notification November 2020

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

Clinical Criteria Updates Notification December 2020

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

Keep up with Medicare news

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

New specialty pharmacy medical step therapy requirements

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

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

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

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

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

Keep up with Medicaid news

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

New provider directory indicator for telehealth services

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

CAHPS® survey

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

Disease Management/Population Health program

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

Radiotherapies and radioimmunotherapies will require prior authorization

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

2021 FEP® Benefit information available online

January 2021 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Jan 1, 2021

Notifications on the Availity Portal

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

Resources to support your pregnant and postpartum patients and their families

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

Medical drug benefit Clinical Criteria updates

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

FDA approvals and expedited pathways used -- new molecular entities

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

Coding spotlight: HEDIS MY 2021

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

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

Electrical Workers Local 357 Health and Welfare Trust Fund in Nevada moves to Medicare Advantage plan from Anthem Blue Cross and Blue Shield (Anthem)

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

Keep up with Medicare news

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

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

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

2021 Medicare Advantage individual benefits and formularies

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

Digital transactions cut administrative tasks in half

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

CAHPS education for providers

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

Anti-VEGF Medical Step Therapy Notice

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

Avastin Biosimilars Medical Step Therapy Notice

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

Important reminder – coding requirements for reimbursement for early elective deliveries

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

Patient360 enhancement for medical providers

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

Keep up with Medicaid news

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

Digital transactions cut administrative tasks in half

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

Patient360 enhancement for medical providers

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

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

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

Medical drug benefit Clinical Criteria updates -- May 2020

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

Medical drug benefit Clinical Criteria updates -- June 2020

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

Preferred continuous glucose monitors

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