Nevada
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

Prior authorization requirements for 0200T and 0201T

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

Provider Chat -- A fast, easy way to get your questions answered

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

Prior authorization requirements for E0482

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 Medicare Nov 1, 2020

Coding spotlight: tips and best practices for compliance

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

FDA approvals and expedited pathways used -- new molecular entities

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

New specialty pharmacy medical step therapy requirements

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

Digital transactions cut administrative tasks in half

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

Attention: updated laboratory fee schedule

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

Keep up with Medicaid news

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

Digital transactions cut administrative tasks in half

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

Keep up with Medicare news

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

Federal Employee Program® Expands Specialty Pharmacy Prior Authorization List (MAC)

Material Adverse Change (MAC)
October 2020 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Oct 1, 2020

Coding spotlight: providers guide to coding for behavioral health disorders

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

What Matters Most online training course: improving patient experience

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

Social determinants of health support expanding with GroundGame Health

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

Keep up with Medicaid news

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

Prior authorization requirements for the below codes

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

Medical drug benefit Clinical Criteria updates (June 2020)

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

Provider transparency update

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

Prior authorization requirements for the below codes

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

Social determinants of health support expanding with GroundGame Health

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

Keep up with Medicare news

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

Controlling High Blood Pressure (CBP)

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

Medical drug benefit Clinical Criteria updates (March 2020)

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

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates (March 2020)

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

Medical drug benefit Clinical Criteria updates (May 2020)

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

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

New MCG Care Guidelines 24th edition

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

Keep up with Medicare news

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

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Jul 1, 2020

Medical drug benefit Clinical Criteria updates

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

Complex Case Management program

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

Important information about utilization management

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

Members’ Rights and Responsibilities Statement

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

Coding spotlight: Provider’s guide to code social determinants of health

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

Coding spotlight: Provider’s guide to coding for cardiovascular conditions

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

Keep up with Medicaid news

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

2020 Special Needs Plans

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

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

Modifier use reminders

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

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

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

2020 Medicare risk adjustment provider trainings

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

Diabetes HbA1c < 8 HEDIS guidance

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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

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

Resources supporting our providers during COVID-19

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

Keep up with Medicare news

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

Notification for ambulatory medical record review

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

Follow-Up After Hospitalization for Mental Illness

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

Keep up with Medicaid news

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

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

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

Multi-dose packaging

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

Keep up with Medicare news

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