Nevada
Provider Communications

Articles Month: October 2019

Title Publication Category Date

CORRECTION -- New Rates for Applied Behavioral Analysis (ABA) Services Effective January 1, 2020 (MAC)

Material Adverse Change (MAC) -- CORRECTION
CORRECTION -- New Rates for Applied Behavioral Analysis (ABA) Services Effective January 1, 2020 - Nevada Administrative Oct 28, 2019

Enhanced search and download options allow easy access to information at your fingertips

Get the latest critical information from Anthem that impacts you; View Provider News for easy access at your fingertips - Nevada Administrative Oct 25, 2019

Fall Provider Seminars coming soon - register today to save your spot!

Fall 2019 Anthem Provider Seminar Invitation - NV Administrative Oct 10, 2019

New Rates for Applied Behavioral Analysis (ABA) Services Effective January 1, 2020 (MAC) - Nevada

Material Adverse Change (MAC)
New Rates for Applied Behavioral Analysis (ABA) Services Effective January 1, 2020 - Nevada Administrative Oct 3, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site of Care prior authorization review (MAC)

Material Adverse Change (MAC)
October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification request turnaround times for the Federal Employee Program

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

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

Update: 2019 risk adjustment provider trainings

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

Medicare preferred continuous glucose monitors

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

Medical drug Clinical Criteria updates

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

Prior authorization requirements changes effective November 1, 2019

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

MCG Care Guidelines update and customizations

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

Keep up with Medicare news

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

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

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

Prior authorization changes

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

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

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

MCG Care Guidelines update and customizations

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

Keep up with Medicaid news

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

Anthem specialty pharmacy medical step therapy drug list- clarification

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

Important update to Anthem’s commercial drug lists

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

Pharmacy information available on anthem.com

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

Anthem launches additional changes to anthem.com

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

Drug fee schedule update

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

National Accounts 2020 Pre-certification list

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

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

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

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

Place of Service (Professional Reimbursement Policy - Update) (MAC)

Material Adverse Change (MAC)
October 2019 Anthem Provider News and Important Updates - Nevada Reimbursement Policies Oct 1, 2019
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