Nevada
Provider Communications

Articles Month: October 2022

Title Publication Category Date

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

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

National Accounts 2023 Pre-certification list

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

CAA: Review your online provider directory information

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

The Provider Learning Hub is here

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

Drug fee schedule update

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

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

Pharmacy information available on provider website

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

October 2022 specialty pharmacy updates (MAC)

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

Change notification to Medical Policies and Clinical UM Guidelines (MAC)

Material adverse change (MAC)

October 2022 Anthem Provider News - Nevada Policy Updates Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).
October 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing (Professional)(MAC)

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

Reimbursement policy update: Three-Dimensional (3D) Radiology Services (Professional & Facility)

October 2022 Anthem Provider News - Nevada Reimbursement Policies Oct 1, 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

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Nevada Administrative Oct 7, 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

Information from Anthem for Care Providers about COVID-19 – Publication RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.

Future updates regarding COVID-19 will appear in the monthly Provider News publication.

COVID-19 Information – Nevada – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

Update to the professional fee schedule

Anthem Blue Cross and Blue Shield (Anthem) would like to make you aware of a change to our professional fee schedule that will be effective for dates of service on or after January 1, 2023.
Update to the professional fee schedule - Nevada Administrative Oct 24, 2022
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