Nevada
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2 Testing Bullets: Reminder: CU Health Plan and UCHealth changes effective July 1, 2020

N/A Policy Updates Jun 9, 2020

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test featured article order Administrative May 27, 2020

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test featured article order Behavioral Health May 27, 2020

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Provider News Home page
COVID-19 Information - Nevada Administrative May 20, 2020

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COVID-19 Information - Nevada Behavioral Health May 20, 2020

video Information from Anthem for Care Providers about COVID-19 (updated May 19, 2020)

Please note that the following information applies to Anthem’s Commercial health plans. Please review the Medicare specific site noted below for details about Medicare plans.
Commercial:  Provider News Home
Medicare:  Medicare Advantage Provider News Archives
COVID-19 Information - Nevada Administrative May 19, 2020

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N/A Administrative May 19, 2020

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N/A Administrative May 19, 2020

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Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19  
We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. 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 on care providers that are also small employers.  

The Small Business Loan Opportunities for Providers webinar recording is now available.   After registering, use the password “health” to access the webinar.  

Webinar summary: The federal Coronavirus, Aid, Relief and Economic Security (CARES) Act included an initial $350 billion Paycheck Protection Program (PPP) that provides 100% federally guaranteed loans to small employers. These loans may be forgiven if borrowers maintain or restore their payrolls to pre-COVID-19 levels. On Monday, April 27, 2020, the SBA resumed accepting applications for PPP loans in response to an additional $320 billion added to the program. This webinar recording shares information about federal financial relief for providers in response to the COVID-19 crisis. Use the password “health” to access the webinar.  
COVID-19 Information - Nevada Administrative May 19, 2020

Information from Anthem for Care Providers about COVID-19 3

COVID-19 Information - Nevada Medical Policy & Clinical Guidelines May 18, 2020

Anthem to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19 5

We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. This Thursday, April 30, 2020, Anthem is hosting a 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 on care providers that are also small employers.

The federal Coronavirus, Aid, Relief and Economic Security (CARES) Act included an initial $350 billion Paycheck Protection Program that provides 100% federally guaranteed loans to small employers. On Monday, April 27, 2020, the SBA resumed accepting applications for PPP loans in response to an additional $320 billion added to the program in recent days. These loans may be forgiven if borrowers maintain or restore their payrolls to pre-COVID-19 levels.

Register now to learn more about federal financial relief for providers in response to COVID-19 (space is limited). A webinar recording will be available on our Provider News page on Anthem.com.

Webinar date and time
Thursday, April 30, 2020
5 p.m. to 6 p.m. EDT

Select “Learn more” for details and to register now.
COVID-19 Information - Nevada Products & Programs May 18, 2020

Anthem to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19 4

We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. As previously communicated,  Anthem is hosting a webinar today 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 on care providers that are also small employers.  

The federal Coronavirus, Aid, Relief and Economic Security (CARES) Act included an initial $350 billion Paycheck Protection Program that provides 100% federally guaranteed loans to small employers. On Monday, April 27, 2020, the SBA resumed accepting applications for PPP loans in response to an additional $320 billion added to the program in recent days. These loans may be forgiven if borrowers maintain or restore their payrolls to pre-COVID-19 levels.  

Register now to learn more about federal financial relief for providers in response to COVID-19 (space is limited). A webinar recording will be available on our Provider News page on Anthem.com.  

Webinar date and time
Thursday, April 30, 2020
5 p.m. to 6 p.m. EDT  

Select “Learn more” for details and to register now
COVID-19 Information - Nevada Administrative May 18, 2020

Anthem to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19 1

We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. This Thursday, April 30, 2020, Anthem is hosting a 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 on care providers that are also small employers.  

The federal Coronavirus, Aid, Relief and Economic Security (CARES) Act included an initial $350 billion Paycheck Protection Program that provides 100% federally guaranteed loans to small employers. On Monday, April 27, 2020, the SBA resumed accepting applications for PPP loans in response to an additional $320 billion added to the program in recent days. These loans may be forgiven if borrowers maintain or restore their payrolls to pre-COVID-19 levels.  

Register now to learn more about federal financial relief for providers in response to COVID-19 (space is limited). A webinar recording will be available on our Provider News page on Anthem.com.  

Webinar date and time
Thursday, April 30, 2020
5 p.m. to 6 p.m. EDT

REGISTER NOW to learn more about federal financial relief for providers in response to COVID-19.

Select “Learn more” for details and to register now.
COVID-19 Information - Nevada Administrative May 18, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated May 11, 2020) 2

For the latest COVID-19 information, please check Provider News often.
COVID-19 Information - Nevada Behavioral Health May 18, 2020

Updated COVID-19 Medicare Information

N/A Medicare Apr 9, 2020

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N/A Administrative Mar 26, 2020

UPDATE: New AIM Rehabilitative Program effective April 1, 2020

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

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

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

AIM Specialty Health Clinical Appropriateness Guidelines update -- Musculoskeletal Program: Joint Surgery and Spine Surgery (MAC)

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

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

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

Medical Policy and Clinical UM Guidelines notification letter (MAC)

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

Clinical Laboratory Improvement Amendments (CLIA) claim requirements effective May 1, 2020 (MAC)

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

Verifying and updating your provider information

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

Verifying and updating your provider information

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

Coding spotlight: provider’s guide to coding respiratory

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

Resources to support your diverse patient panel

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

Keep up with Medicaid news

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

Shine Light on Depression school-based suicide prevention initiative

February 2020 Anthem Provider News and Important Updates - Nevada Behavioral Health Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News and Important Updates - Nevada Pharmacy Feb 1, 2020

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

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

Reimbursement Policy Update Modifier 62: Co-Surgeons

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

New CMS Code Updates Effective January 1, 2020

New CMS Code Updates Effective January 1, 2020 Administrative Jan 13, 2020

New Guided Access HMO Effective January 1, 2020

New Guided Access HMO Effective January 1, 2020 - Nevada Administrative Jan 13, 2020

Western Pathology Consultants is no longer a Participating Provider

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

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

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

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

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

Upcoming retirement planned for legacy Medical Attachment submission tool

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

Let us help you accomplish your 2020 “To Do” list early – EDI Migration

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

New Year brings new ID cards for many Anthem members

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

Drug fee schedule update

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

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection -- best practices

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates – October 2019

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates – November 2019

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Important Update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair (MAC)

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

Outpatient facility edit implementation effective April 26, 2020 (MAC)

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

2020 FEP® Benefit information available online

January 2020 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Jan 1, 2020

Postponed -- Review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Barrick Gold offers Medicare Advantage option

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Keep up with Medicare news

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

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

Medical drug benefit Clinical Criteria updates

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Precertification Lookup Tool -- easy access to prior authorization guidelines on the Availity Portal

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

Coding Spotlight: Hypertension -- A providers’ guide for coding

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

Keep up with Medicaid news

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

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Anthem Provider News and Important Updates - Nevada Behavioral Health Dec 1, 2019

Pharmacy information available on anthem.com

December 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Dec 1, 2019

Verifying and updating your provider information

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Non-participating lab referrals

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Case Management Program

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Coordination of Care

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Important Information about Utilization Management

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Members’ Rights and Responsibilities

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)
December 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Dec 1, 2019

System updates for 2020 (Professional)

December 2019 Anthem Provider News and Important Updates - Nevada Reimbursement Policies Dec 1, 2019

New Reimbursement Policies (Professional): Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers

December 2019 Anthem Provider News and Important Updates - Nevada Reimbursement Policies Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

Coming soon: electronic attachments

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Coming soon: electronic attachments

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Keep up with Medicaid news

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Fall Provider Seminar happening this month -- Registration Deadline November 7, 2019

Fall 2019 Anthem Provider Seminar final announcement: Registration deadline November 7 - Nevada Administrative Nov 4, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Nov 1, 2019

Fall Provider Seminars happening this month -- Registration Deadline November 7, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Administrative Nov 1, 2019

Provider Action Needed: verify your information is correct, and update us with any changes utilizing our online Provider Maintenance Form

November 2019 Anthem Provider News and Important Updates - Nevada Administrative Nov 1, 2019

Anthem appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News and Important Updates - Nevada Administrative Nov 1, 2019

Additional improvements coming to anthem.com regarding Medical Policies and Clinical Guidelines

November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging of the Abdomen and Pelvis (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Appropriateness Guidelines update -- Radiation Therapy (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Appropriateness Guidelines update -- Musculoskeletal Program Spine Surgery (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019
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