Nevada
Provider Communications

Articles Month: November 2019

Title Publication Category Date

Fall Provider Seminar happening this month -- Registration Deadline November 7, 2019

Fall 2019 Anthem Provider Seminar final announcement: Registration deadline November 7 - Nevada Administrative Nov 4, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Nov 1, 2019

Fall Provider Seminars happening this month -- Registration Deadline November 7, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Administrative Nov 1, 2019

Provider Action Needed: verify your information is correct, and update us with any changes utilizing our online Provider Maintenance Form

November 2019 Anthem Provider News and Important Updates - Nevada Administrative Nov 1, 2019

Anthem appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News and Important Updates - Nevada Administrative Nov 1, 2019

Additional improvements coming to anthem.com regarding Medical Policies and Clinical Guidelines

November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging of the Abdomen and Pelvis (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Appropriateness Guidelines update -- Radiation Therapy (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Appropriateness Guidelines update -- Musculoskeletal Program Spine Surgery (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates Effective date August 12, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates Effective date September 5, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

InterQual 2019 update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Behavioral health therapy session limitations

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Keep up with Medicaid news

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019
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