Nevada
Provider Communications

Articles Month: May 2021

Title Publication Category Date

Reminder Guided Access HMO effective January 1, 2020 Clark, Nye/Expanded to Washoe January 1, 2021

May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) Enhanced Reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021 – Initial Evaluations and Site of Service reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Updates for Specialty pharmacy effective August 1, 2021 (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

May is National High Blood Pressure Education Month

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Non-participating lab referrals

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments

Electronic Solutions @ Your Fingertips
May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Send larger digital attachments through Availity

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Appointment scheduler application

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Referring to network DME providers for Negative Pressure Wound Therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

2021 Affirmative Statement Regarding Utilization Management Decisions

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Update to AIM Specialty Health Oncologic Imaging Clinical Appropriateness Guidelines

May 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines May 1, 2021

Reimbursement policy reminder: Readmission (Facility)

May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Reimbursement policy update: Frequency Editing (Professional)

May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation (Facility) (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Foundations Counseling Center

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Updates to the AIM Advanced Imaging Clinical Appropriateness Guidelines

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Keep up with Medicaid news

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021

Keep up with Medicare news

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021
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