Nevada
Provider Communications

Articles

Title Publication Category Date

PCP searches in Find Care

PCP searches in Find Care - Nevada Administrative Nov 2, 2022

Update to the professional fee schedule

November 2022 Anthem Provider News - Nevada Administrative Nov 1, 2022

Participating lab referrals help our members most

This communication applies to the Medicare Advantage and Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.
November 2022 Anthem Provider News - Nevada Administrative Nov 1, 2022

COVID-19 vaccines for youth toolkit available

This communication applies to the Medicaid program from Anthem Blue Cross and Blue Shield Healthcare Solutions and the Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.
November 2022 Anthem Provider News - Nevada Digital Tools Nov 1, 2022

Remote EMR access service for HEDIS

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.
November 2022 Anthem Provider News - Nevada Digital Tools Nov 1, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Nevada Digital Tools Nov 1, 2022

Authorization application enhancements: faster, easier, and more efficient

November 2022 Anthem Provider News - Nevada Digital Tools Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Nevada Digital Tools Nov 1, 2022

RETRACTION - You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Nevada Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Nevada Digital Tools Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Nov 1, 2022

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

November 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)
November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Correction to reimbursement policy: Place of Service (Facility) (MAC)

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

Guidance for coding evaluation and management services for new and established patients

Medicaid

November 2022 Anthem Provider News - Nevada Medicaid Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

Medicaid

November 2022 Anthem Provider News - Nevada Medicaid Nov 1, 2022

Important information about utilization management

Medicaid

November 2022 Anthem Provider News - Nevada Medicaid Nov 1, 2022

Keep up with Medicaid news

Medicaid
  • Medical drug benefit Clinical Criteria updates
  • Prior authorization requirement changes effective November 1, 2022
November 2022 Anthem Provider News - Nevada Medicaid Nov 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Personalized Match

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Keep up with Medicare news

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Anthem Provider News - Nevada Administrative Nov 1, 2022

Specialty pharmacy updates - November 2022

November 2022 Anthem Provider News - Nevada Pharmacy Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Nevada Administrative Nov 1, 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

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

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

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Nevada Administrative Oct 7, 2022

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

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Nevada Administrative Sep 9, 2022

Correction: New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Guided access HMO: Additional details

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

This communication applies to the Commercial and Medicare Advantage programs from

Anthem Blue Cross and Blue Shield (Anthem).

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).
September 2022 Anthem Provider News - Nevada Digital Tools Sep 1, 2022

Updates to the Claim Attachment workflow

Three things to do when you do not find your claim in Claim Status
September 2022 Anthem Provider News - Nevada Digital Tools Sep 1, 2022

New Back Pain Management Program

September 2022 Anthem Provider News - Nevada Products & Programs Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Nevada referral management policy

September 2022 Anthem Provider News - Nevada Policy Updates Sep 1, 2022

Updated Prefix Refence List and Networks at a Glance documents now available

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Medical Policy and Clinical Utilization Management (UM) Guidelines update notification letter (MAC)

Material adverse change (MAC)
September 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Sep 1, 2022

Commercial reimbursement policy update to Modifier 66: Surgical Teams (Professional)

September 2022 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2022

Policy Update: Modifier Rules (Professional) (MAC)

Material adverse change (MAC)

September 2022 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2022

Reimbursement policy update Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional)

September 2022 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Sep 1, 2022

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Keep up with Medicare news

Medicare Advantage

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)
Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 

September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

InterQual 2022 revisions

Medicaid
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

New specialty pharmacy medical step therapy requirements (MAC)

Medicaid
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Keep up with Medicaid news

Medicaid

Clinical Criteria Updates
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

Nevada referral management policy

Nevada referral management policy Policy Updates Aug 5, 2022

New patient evaluation and management services when reported for the same patient within the last three years

August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

New provider manual available

August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Reminder: inpatient/outpatient commercial claim denials

August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Update: outpatient prepay itemized bill review program (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Performance enhancements to the authorization application on Availity

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Nevada Behavioral Health Aug 1, 2022

Pharmacy information available on the provider website

August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Nevada referral management policy

August 2022 Anthem Provider News - Nevada Policy Updates Aug 1, 2022
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