Nevada
Provider Communications

Articles Month: May 2020

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 (Updated May 21, 2020)

We recently updated FAQs about telehealth care, telephonic care, and cost share waivers for emergency services related to COVID-19 testing and screening.
COVID-19 Information - Nevada Administrative May 21, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated May 19, 2020)

COVID-19 Information - Nevada Administrative May 19, 2020

Important update and clarity regarding National Medical Funding Services

COVID-19 Information - Nevada Administrative May 8, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Nevada Administrative May 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy May 1, 2020

COVID-19 information repository for Anthem care Providers

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

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

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

Non-participating lab referrals

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

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

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

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines May 1, 2020

Pre-Service/Prior Authorization Clinical Review Update -- May 2020 (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines May 1, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines May 1, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Sleep Disorder Management (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines May 1, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- MSK Interventional Pain Management (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines May 1, 2020

Claims requiring additional documentation (Facility Reimbursement Policy -- Update for Inpatient and Outpatient) (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies May 1, 2020

Reminder about System Updates

May 2020 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies May 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

Disease Management can help you care for patients with chronic health care needs

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

Medical drug benefit Clinical Criteria updates December 2019

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

Postpartum incentives

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

CPT II obstetrical billing information

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

Keep up with Medicaid news

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