Nevada
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Site of Care* medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021

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Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - NV Products & Programs May 18, 2021

BH telehealth

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COVID-19 Information - Nevada Behavioral Health May 20, 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

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

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

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

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

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

October 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Oct 1, 2019

Anthem expands specialty pharmacy prior authorization list (MAC)

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

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

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

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

August 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Aug 1, 2019

Pharmacy information available on anthem.com

August 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Aug 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Jul 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Jul 1, 2019

Anthem expands specialty pharmacy prior authorization list

June 2019 Anthem Important Updates - Nevada Pharmacy Jun 1, 2019

Anthem Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

June 2019 Anthem Provider Newsletter - Nevada Pharmacy Jun 1, 2019

Pharmacy information available at anthem.com

June 2019 Anthem Provider Newsletter - Nevada Pharmacy Jun 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list

May 2019 Anthem Important Updates - Nevada Pharmacy May 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Provider Newsletter - Nevada Pharmacy May 1, 2019

Pharmacy information available at anthem.com

April 2019 Anthem Provider Newsletter - Nevada Pharmacy Apr 1, 2019

Anthem expands specialty pharmacy prior authorization list

April 2019 Anthem Important Updates - Nevada Pharmacy Apr 1, 2019

Important reminder regarding Specialty Pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Provider Transparency Update

March 2019 Anthem Provider Newsletter - NV Products & Programs Mar 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Member Satisfaction with Behavioral Health Outpatient Services

February 2019 Anthem Provider Newsletter - NV Behavioral Health Feb 1, 2019

Pharmacy information available on anthem.com

February 2019 Anthem Provider Newsletter - NV Pharmacy Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

Anthem Announces Early Launch of IngenioRx Pharmacy Jan 30, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Provider Newsletter - NV Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Provider Newsletter - NV Pharmacy Jan 1, 2019

Case Management Program

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Integrated Care Model for plans purchased on the Health Insurance Marketplace / Nevada Health Link benefits patients and physicians

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Coordination of Care

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Important Information about Utilization Management

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Clinical Practice and Preventive Health Guidelines available on the web

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Anthem accepts electronic prior authorization requests for prescription medications online

December 2018 Anthem Provider Newsletter - NV Pharmacy Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 Anthem Provider Newsletter - NV Pharmacy Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 Anthem Provider Newsletter - NV Pharmacy Dec 1, 2018

Options for helping members avoid ER visits during flu season

November 2018 Anthem Provider Newsletter - NV Products & Programs Nov 1, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

October 2018 Anthem Important Updates - NV Pharmacy Oct 1, 2018

Anthem expands specialty pharmacy pre-certification list

October 2018 Anthem Important Updates - NV Pharmacy Oct 1, 2018

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Anthem Important Updates - NV Pharmacy Oct 1, 2018

Pharmacy information available on anthem.com

October 2018 Anthem Provider Newsletter - NV Pharmacy Oct 1, 2018

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Provider Newsletter - NV Products & Programs Oct 1, 2018

Access patient-specific drug benefit information through EMR

October 2018 Anthem Provider Newsletter - NV Pharmacy Oct 1, 2018

Anthem expands specialty pharmacy pre-certification list

August 2018 Anthem Important Updates - NV Pharmacy Aug 17, 2018

Anthem expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

August 2018 Anthem Important Updates - NV Pharmacy Aug 17, 2018

Pharmacy information available on anthem.com

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem’s Individualized Care Program supports palliative care for commercial members

August 2018 Anthem Provider Newsletter - NV Products & Programs Aug 17, 2018

Additional Support Available for Members with Rare Conditions

August 2018 Anthem Provider Newsletter - NV Products & Programs Aug 17, 2018

Anthem removes drugs from specialty pharmacy clinical site of care (level of care) drug list

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem applies daily morphine equivalent dosing limit

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem to update drug lists supporting commercial health plans

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018
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