Nevada
Provider Communications

Articles

Title Publication Category Date

New policy for EMR clinical data sharing and ADT notifications (MAC)

Material adverse change
March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

March is National Colorectal Cancer Awareness Month

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Prefix reference list - Nevada

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Advancing Mental Health Equity for Youth & Young Adults

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Drug fee schedule update

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

HPV Vaccination Starts at 9 Provider and Health Systems Toolbox

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Specialty pharmacy updates for March 2023 (MAC)

Material adverse change (MAC)

March 2023 Anthem Provider News - Nevada Pharmacy Mar 1, 2023

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update

Material adverse change
March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Enhancing Provider News website and email communications

March 2023 Anthem Provider News - Nevada Digital Tools Mar 1, 2023

Change notification to Medical Policies and Clinical UM Guidelines

Material adverse change
March 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Mar 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

March 2023 Anthem Provider News - Nevada Reimbursement Policies Mar 1, 2023

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
March 2023 Anthem Provider News - Nevada Medicaid Mar 1, 2023

Keep up with Medicare news

Medicare Advantage

Please continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Reminder: Updated Carelon Medical Benefits Management, Inc. Musculoskeletal Program effective April 1, 2023 - Site of care reviews

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Nevada Products & Programs Mar 1, 2023

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Nevada Pharmacy Mar 1, 2023

Annual planned visits

March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Informational Update Modifier Usage

March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Early Intervention Services Program

Early Intervention Services Program Products & Programs Feb 17, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Anthem Provider News - Nevada Administrative Feb 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Provider News - Nevada Administrative Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Nevada Administrative Feb 1, 2023

Updated Networks at a Glance documents now available

February 2023 Anthem Provider News - Nevada Products & Programs Feb 1, 2023

Specialty pharmacy updates - February 2023 (MAC)

Material adverse change (MAC)

February 2023 Anthem Provider News - Nevada Pharmacy Feb 1, 2023

Guided Access HMO effective January 1, 2023

February 2023 Anthem Provider News - Nevada Products & Programs Feb 1, 2023

Change notification to Clinical UM Guidelines (MAC)

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Nevada Policy Updates Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Nevada Digital Tools Feb 1, 2023

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
February 2023 Anthem Provider News - Nevada Medicaid Feb 1, 2023

Keep up with Medicare news

Medicare Advantage

Please continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
February 2023 Anthem Provider News - Nevada Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Nevada Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Nevada Federal Employee Plan (FEP) Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Nevada Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Nevada Administrative Jan 11, 2023

Engagement with your patient counts

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)

Material adverse change
January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines (MAC)

Material adverse change
January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates (MAC)

Material adverse change
January 2023 Anthem Provider News - Nevada Pharmacy Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Nevada Medicaid Dec 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Nevada Medicaid Dec 30, 2022

Update to the Pregnancy Notification Form

January 2023 Anthem Provider News - Nevada Medicaid Dec 30, 2022

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
January 2023 Anthem Provider News - Nevada Medicaid Dec 30, 2022

Keep up with Medicare news

Medicare Advantage

Please continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
January 2023 Anthem Provider News - Nevada Medicare Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Federal Employee Plan (FEP) Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Nevada Reimbursement Policies Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement (MAC)

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

Coordination of care

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

New Convenient Care HMO Plan and updated Prefix Reference List

December 2022 Anthem Provider News - Nevada Products & Programs Dec 1, 2022

Medical Policy and Clinical UM Guidelines notification letter

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Nevada Policy Updates Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility (MAC)

Material adverse change (MAC)

December 2022 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2022

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
December 2022 Anthem Provider News - Nevada Medicaid Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Nevada Medicare Dec 1, 2022

Keep up with Medicare news

Medicare Advantage

Please continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
December 2022 Anthem Provider News - Nevada Medicare Dec 1, 2022

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Anthem Provider News - Nevada Policy Updates Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

Specialty pharmacy updates - December 2022 (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Nevada Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Nevada Pharmacy Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

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

Personal home helper benefit ending

December 2022 Anthem Provider News - Nevada Medicare Dec 1, 2022

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
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