Nevada
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
December 2022 Anthem Provider News - Nevada Medicaid Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

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

Keep up with Medicare news

Medicare Advantage

Please continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
December 2022 Anthem Provider News - Nevada Medicare Dec 1, 2022

Personal home helper benefit ending

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

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)
November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Guidance for coding evaluation and management services for new and established patients

Medicaid

November 2022 Anthem Provider News - Nevada Medicaid Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

Medicaid

November 2022 Anthem Provider News - Nevada Medicaid Nov 1, 2022

Important information about utilization management

Medicaid

November 2022 Anthem Provider News - Nevada Medicaid Nov 1, 2022

Keep up with Medicaid news

Medicaid
  • Medical drug benefit Clinical Criteria updates
  • Prior authorization requirement changes effective November 1, 2022
November 2022 Anthem Provider News - Nevada Medicaid Nov 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Personalized Match

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Keep up with Medicare news

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

MCG Care Guidelines 26th edition

Effective September 23, 2022, we will upgrade to the 26th edition of MCG care guidelines for the following modules: Inpatient/surgical care (ISC). The below tables highlight new guidelines and changes.

MCG Care Guidelines 26th edition - Nevada State & Federal Oct 11, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

Medicare Advantage
October 2022 Anthem Provider News - Nevada Medicare Oct 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare
Material adverse change (MAC)

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

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicare

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

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)

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

Consultation codes

Medicare Advantage

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

Keep up with Medicare news

Medicare Advantage
October 2022 Anthem Provider News - Nevada Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

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

Policy Update: Modifiers 25 and 57: Evaluation and Management with Global Procedures

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

Complex Care Management program

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

Members’ Rights and Responsibilities section

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

Health information exchange with HealtHIE Nevada

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

New specialty pharmacy medical step therapy requirements (MAC)

Medicaid
Material adverse change (MAC)

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

Attention Provider Type 12 (Hospital, Outpatient): Cognitive Assessment and Care Planning Procedure Code 99483 May Be Billed

Medicaid

A message from Nevada Department of Health and Human Services, Division of Health Care Financing and Policy

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

Monkeypox resources and recommendations for our care providers

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

Prior authorization updates for medications billed under the medical benefit

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

Prior authorization updates for medications billed under the medical benefit

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

Keep up with Medicaid news

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

Prior authorization requirement changes effective December 1, 2022

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Sep 1, 2022

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Keep up with Medicare news

Medicare Advantage

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)
Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 

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

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

InterQual 2022 revisions

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

New specialty pharmacy medical step therapy requirements (MAC)

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

Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Keep up with Medicaid news

Medicaid

Clinical Criteria Updates
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

Keep up with Medicare news

Medicare Advantage

Medical drug benefit Clinical Criteria updates

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

Chlamydia screening

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

Using SBIRT to address opioid and substance use disorders

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

The cost of alcohol use disorder

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

Keep up with Medicaid news

Medicaid

Medical drug benefit Clinical Criteria updates

Residential treatment center services

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

Prior authorization requirement changes effective November 1, 2022

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

Keep up with Medicare news

Medicare Advantage

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Medical drug benefit Clinical Criteria updates

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Drug screening and testing policy changes

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

Experience the difference: Your Provider Experience team

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

New process for making requests to the state to consider covering non-covered codes

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

Keep up with Medicaid news

Medicaid

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Prior authorization updates for medications billed under the medical benefit

Updates for medication codes billed under the medical benefit
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Cancer Care Navigator

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Non-participating lab referrals

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Provider notice for COVID-19 testing

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Medical drug benefit Clinical Criteria updates

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Keep up with Medicare news

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Provider notice for COVID-19 testing

Medicaid
June 2022 Anthem Provider News - Nevada Medicaid Jun 1, 2022

Keep up with Medicaid news

Medicaid
June 2022 Anthem Provider News - Nevada Medicaid Jun 1, 2022

Join us for an FEP Quality Learning Program Live Webinar

Everything you need to know about using CPT II Codes
May 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) May 1, 2022

New Strategic Provider System implementation May 2022

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

Keep up with Medicare news

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

New Strategic Provider System implementation May 2022

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

Quick tips to filing a complete and correct professional claim

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

FDA warns about dental problems with buprenorphine medicines

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

Screening for alcohol use disorder in high-prevalence demographics

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

Keep up with Medicaid news

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

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Apr 1, 2022

Keep up with Medicare news

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

2021 CAHPS Survey results

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

Disease Management/Population Health program

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

Phone number change for AIM in Nevada

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

Provider administered drugs

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

Keep up with Medicaid news

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

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Policy Update: Inpatient Readmissions

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

The impact of listening

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Clinical Criteria updates

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Model of Care required training

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Change to the Federal Employee Program® clinical grievance and appeal address

March 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Pharmacy newsletter

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Clinical Criteria updates

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

New Strategic Provider System will launch in April 2022

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Keep up with Medicare news

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Medicaid eLearning is here!

Medicaid
March 2022 Anthem Provider News - Nevada Medicaid Mar 1, 2022

It is CAHPS survey time!

Medicaid
March 2022 Anthem Provider News - Nevada Medicaid Mar 1, 2022
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