Nevada
Provider Communications

May 2021 Anthem Provider News - Nevada

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Title Category

A helpful and complete guide to covered well-child visits

Administrative

May is National High Blood Pressure Education Month

Administrative

Non-participating lab referrals

Administrative

Provider bulletins for medical and itemized bill attachments

Electronic Solutions @ Your Fingertips
Administrative

Send larger digital attachments through Availity

Administrative

Resources to support diverse patients and communities

Administrative

Appointment scheduler application

Administrative

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

Administrative

2021 Affirmative Statement Regarding Utilization Management Decisions

Administrative

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

Medicaid

Foundations Counseling Center

Medicaid

Updates to the AIM Advanced Imaging Clinical Appropriateness Guidelines

Medicaid

Keep up with Medicaid news

Medicaid

Update to AIM Specialty Health Oncologic Imaging Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Maximizing efficient, high quality COVID-19 screenings

Medicare

Keep up with Medicare news

Medicare

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

Material Adverse Change (MAC)
Pharmacy

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

Material Adverse Change (MAC)
Pharmacy

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

Products & Programs

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

Products & Programs

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

Material Adverse Change (MAC)
Products & Programs

Reimbursement policy reminder: Readmission (Facility)

Reimbursement Policies

Reimbursement policy update: Frequency Editing (Professional)

Reimbursement Policies

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

Material Adverse Change (MAC)
Reimbursement Policies
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