anthem nevada medicaid provider portalanthem nevada medicaid provider portal

Sign up today. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The resources for our providers may differ between states. Get the mobile app Health and Human Services, Nevada Medicaid and Nevada Check Up News (First Quarter 2023 Provider Newsletter) [Read], Attention Behavioral Health Providers: Monthly Behavioral Health Training Assistance (BHTA) Webinar Scheduled [See Web Announcement 2009], Attention All Providers: Requirements on When to Use the National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) Provider on Claims [Announcement 850], If you are a Medicaid provider whose revalidation application has not been processed by your termination due date, you will be ineligible to provide services to any Nevada Medicaid or Nevada Check Up recipients, including both Fee-for-Service and Managed Care Organization (MCO) enrolled recipients. That's why weve redesigned the provider site to make it more useful for you and easier to use.

If you need to change your dental home or have questions, call DentaQuest at 855-343-7405. If you have questions or need assistance, please contact your Provider Relations representative or contact Provider Services: Fraud, waste and abuse referrals can be made through the following avenues: If you need to update your provider demographic information, please complete the Healthy Rewards is a program that pays you for taking control of your health. Anthem works with IngenioRx to provide your pharmacy benefits. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. Begin Application Launch Availity Find Forms Review Policies Contact Us Important Announcements Training opportunities Choose your location to get started. Your browser is not supported. Urgent Care. Get the mobile app Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Nevada Medicaid and Nevada Check Up members should ensure their contact information is up to date.

Resources are here that help health care professionals do what they do best care for our members. Please use this new number to submit new prior authorization requests to AIM or to get an update on an existing request after . You can earn gift cards for a variety of retailers by completing activities such as wellness checkups, diabetic screenings, mammograms, refilling your medication, etc. This person is called your primary care provider or PCP. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Pharmacy Member Services: 1-833-207-3116 (TTY 711). Enrollees that are switched will have 90 days to choose a different MCO. When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. Register now. Division of Health Care Financing and Policy Portal, Nevada Department of It looks like you're in . We have doctors, therapists and counselors to help you with your behavioral health needs. Interested in joining our provider network? We look forward to working with you to provide quality services to our members. The resources on this page are specific to your state. Nevada Medicaid members under 21 also get eyeglasses or contact lenses (if medically necessary). Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield Healthcare Solutions self-service tools? Find learning opportunities to assist with administering your patients health plan using Availity Essentials multi-payer features and payer spaces applications. 669 0 obj <>stream With LiveHealth Online, you can video chat with a doctor 24/7 from your smartphone, tablet or computer at no cost to you. If you do not change your MCO by 03/31/2022, you will not be able to change it until the next annual open enrollment period beginning October 1, 2022 which will be effective no sooner than January 1, 2023. For childless adults ages AMA and ADA assume no liability for data contained or not contained on this website and on documents posted herein. Your dashboard may experience future loading problems if not resolved. We currently don't offer resources in your area, but you can select an option below to see information for that state. Effective January 1, 2022, Medicaid enrollees may be switched to one of four MCOs. Applicable FARS/DFARS apply. Someone from your doctor's office will call you back within 30 minutes. Let us help you get the most from your Medicaid and Check Up benefits. Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and our members against contagious illnesses. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. How often do you get rewarded for doing something good for your health? Weve been helping Nevada families get and stay healthy since 2009. Save Time With Live Chat Please use If you need to change your assigned MCO, complete the Nevada Medicaid And Nevada Check Up Managed Care Program Special MCO Assignment Change form. We look forward to working with you to provide quality service for our members. It looks like you're outside the United States. You can also view the Nevada Medicaid Response to members and providers on the Novel Coronavirus (COVID-19)or visit theNevada Health Response website. View the extra benefits youre eligible for on the Benefit Reward Hub or call Member Services at 844-396-2329 (TTY 711) Monday through Friday from 7 a.m. to 7 p.m. Pacific time. Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes, descriptions and data are copyrighted by the American Medical Association (AMA) and the American Dental Association (ADA), respectively, all rights reserved. Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes, descriptions and data are copyrighted by the American Medical Association (AMA) and the American Dental Association (ADA), respectively, all rights reserved. Provider Forms | Anthem.com Find information that's tailored for you. 24/7 NurseLine.

A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment. Members can call EyeQuest at 1-800-787-3157

Find drug lists, pharmacy program information, and provider resources. The resources for our providers may differ between states. Bedside delivery of medications Medications delivered to you when youre discharged from a hospital setting so you dont have to stop on your way home. We put tools and technologies in your hands to make it easier to access care and services.

We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Log in to Availity Keep in mind, if you dont renew before the deadline, you may have a gap in health coverage. Were here if you or a family member needs help. 19-64, children under 21, pregnant women and families with children, For children under 19 who are not eligible for Medicaid and do not have other health insurance coverage. For details on open enrollment, contact your local Medicaid District Office at the following numbers: Northern Nevada (775) 687-1900 or Southern Nevada (702) 668-4200. LiveHealth Online. We look forward to working with you to provide quality services to our members. We are here to help. Medicaid Member News: Nevada Medicaid sends notifications over ListServ direct to your email regarding news, initiatives and public meetings. Generally, Medicaid members are in the following categories: We offer benefits to help you feel better and live your best life Benefits youll notice in your every day. Your browser is not supported. We currently don't offer resources in your area, but you can select an option below to see information for that state. Medicare, Individual & Family, and Employer Group Plans Medicaid Forgot Username or Password? Dont wait until your next sick day. To get Nevada Medicaid benefits through Anthem, you must have limited income and live in one of our service areas.

AIM ProviderPortal SM com: Online access is available 24/7 to process orders in real-time and is the fastest and most convenient way to request authorization. Were here to help you with the latest information about your benefits, getting care and finding local help and resources. It tells you how you can get the most from your benefits. Lets make healthy happen, 2021Anthem Insurance Companies, Inc., Stay informed activate your online account, Privacy Guidance When Selecting Third-Party Apps (English), Privacy Guidance When Selecting Third-Party Apps (Spanish). 611 0 obj <>/Filter/FlateDecode/ID[<8C764A2EB6F7A241A3BE991A1A83BC15>]/Index[575 95]/Info 574 0 R/Length 158/Prev 399022/Root 576 0 R/Size 670/Type/XRef/W[1 3 1]>>stream Use the secure Availity Portal during patient check-in, checkout or billing, or whenever you might benefit from easy access to health plan information. State Partners Members Medicaid Members Low-cost coverage for children, adults and families Choose your state Medicare-Medicaid Plans (MMP) Members Combined Medicare and Medicaid coverage for eligible adults over 21 Choose your state Updates and reminders Coronavirus (COVID-19) Nevada Medicaid Forms Can Now Be Submitted Using the Provider Web Portal. We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. CPT is a registered trademark of the AMA. The referral form tells you and the specialist what kind of health care you need. If your state isn't listed, check out bcbs.com to find coverage in your area. Our text-based peer support services program provides peer-led crisis services to members age 13 and older via text. It looks like you're outside the United States. Keep in mind, if you don't renew before the deadline, you may have a gap in health coverage. We know health care is about more than just doctor visits, so our benefits are designed to make a difference in your life. All behavioral health services and treatments are private and you dont need a referral from your PCP. The table below shows the regularly scheduled maintenance window. Get the mobile app On July 6, 2015, Nevada Medicaid completed updating all of the Nevada Medicaid forms that are available on this website. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. hbbd```b`` For a full list of our extra benefits, see the Benefit Fact Sheet. Our resources vary by state. .

ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Healthcare Solutions.

At Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem), we value you as a provider in our network. Anthem has a large network of doctors and nurses who help our members. . Whether its 3 a.m. or a Sunday afternoon with the family, health issues happen at the most inconvenient times and places. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Call our 24/7 Behavioral Health Crisis Line at 1-844-396-2331.

Lets make healthy happen, 2021Anthem Insurance Companies, Inc., Childless adult aged 19-64 who meets federal income requirements, Privacy Guidance When Selecting Third-Party Apps (English), Privacy Guidance When Selecting Third-Party Apps (Spanish).

The dentist at your dental home will provide the oral care your family needs to stay healthy. Read it to find out about: Call Member Services at 1-844-396-2329 (TTY 711). Benefits may change. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. "WHs ]&$dVV"l]`' As communicated in the April Provider Newsletter, effective August 1, 2023, Carelon Medical Benefits Management, Inc.* (formerly AIM Specialty Health [AIM]) will expand multiple Carelon programs to perform medical necessity reviews for additional procedures for Anthem Blue Cross (Anthem) members.. CPT is a registered trademark of the AMA. Simply complete the form below. We currently don't offer resources in your area, but you can select an option below to see information for that state. This number is also on the back of your ID card. %%EOF CDT is a registered trademark of the ADA. endstream endobj 576 0 obj <. During the scheduled site maintenance window the Provider Web Portal will be unavailable. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Healthcare Solutions. Sign up today. Use your Anthem identification (ID) number to log in to their website. Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Please update your browser if the service fails to run our website. Anthem Blue Cross and Blue Shield Healthcare Solutions provides all your Nevada Medicaid benefits, like care from a PCP you choose, pharmacy benefits, preventive care and more all at no cost to you. A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment. Resources are here that help health care professionals do what they do best care for our members. Type at least three letters and we will start finding suggestions for you. Select a State Prior Authorization Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). Monday - Friday We can connect you to a plan that's right for you. Join Us! 1-844-396-2329 (TTY 711). endstream endobj startxref Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc.

Anthem Blue Cross and Blue Shield Healthcare Solutions Member.

Welcome to the Nevada Medicaid and Nevada Check Up Provider Web Portal. You can also visit bcbs.com to find resources for other states. Enroll Renew If your state isn't listed, check out bcbs.com to find coverage in your area. To learn more and enroll, visit the Benefit Reward Hubor call the Healthy Rewards Customer Service line at 888-990-8681 (TTY 711) Monday through Friday from 6 a.m. to 5 p.m. Pacific time. See Web Announcement 1265, Enrollment Termination Frequently Asked Questions (FAQs) [Review].

Choose your location to get started. All you need is your smartphone, tablet, or computer. Division of Health Care Financing and Policy Portal, Nevada Department of Annual sports physical from an Anthem PCP for members ages 6-18.

Monday - Friday But there are some services that well pay for, even if you get them from a provider whos not in our network.

There are no copays for covered prescriptions. 2021copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Don't wait until your next sick day. Our qualified mental health professionals provide counseling and crisis intervention as needed. As the nations second largest health plan-owned company, Anthem Behavioral Health provides choice, innovation and access.

Click https://dhcfp.nv.gov/Resources .

The MCOs include: Anthem Blue Cross Blue Shield Healthcare Solutions o https://mediproviders.anthem.com/nv/Pages/home.aspx o (844) 396-2330 Health Plan of Nevada o www.myhpnmedicaid.com/Provider o (800) 745-7065 Molina Healthcare of Nevada o www.molinahealthcare.com/members/nv/en-us/health-care-professionals/home.aspx o (833) 685. Search for up-to-date drug information, including hundreds of brand-name and generic medications. Choose your location to get started. It may be time to renew your health benefits. It looks like you're in . All services billed with the following revenue codes: Related information Precertification lookup tool LIBERTY Dental Plan of Nevada is the Dental Benefits Administrator (DBA). $25 incentive for the first prenatal visit, $50 incentive for attending a postpartum visit 7-84 days after delivery, $10 per visit incentive for attending up to six well baby visits, Stay connected with your care coordinator, Get your care coordinators phone number and email address, Send secure messages about diagnoses, goals, medicines, services and more, Check due dates and statuses of goals and objectives, Special programs and services like wellness care for adults and children, disease management and behavioral health, Your rights and responsibilities as an Anthem member, How to get help if your doctors office is closed, How to reach Anthem Member Services if you have questions. The resources for our providers may differ between states. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Medicaid . We created this short video to show you how. All you need is your smartphone, tablet, or computer. The expansion will require clinical appropriateness review for additional procedures related . (TTY 1-800-466-7566) for help finding an Anthem eye doctor in your area. Provider News is your source for important news and announcements, including policy updates, prior authorization changes, new product and program offerings, and more.

Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. Anthem members in Nevada receive routine vision services through EyeQuest. Click here to see the State of Nevada Online Privacy Policy, Nevada Medicaid And Nevada Check Up Managed Care Program Special MCO Assignment Change, https://dhcfp.nv.gov/Resources/NevadaMedicaidUpdate/MemberNewsListserv/, https://dhcfp.nv.gov/Members/BLU/MCOMain/, Click here to see the State of Nevada Online Privacy Policy.

12:00AM - 12:30AM, Monday Thats why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

All times will be in the Pacific time zone. He or she can be a doctor, a nurse practitioner or a physicians assistant.

These learning opportunities will assist you in administering your patients health plan and provide you with the knowledge to best assist our members. Its an easy way to get care for you or your family anytime of the day or night without leaving home. Anthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Annual Boys & Girls Club memberships for members ages 5-14.

Email a Provider Relationship Management associate. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. FAQs: Managed Care Enrollment [Review Now], To review Managed Care Organization Value Added Services Comparison Charts, visit https://dhcfp.nv.gov/Members/BLU/MCOMain/. Practice Profile Update Form You can also visit. Interested in joining our provider network?

Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Use the secure Availity Portal during patient check-in, checkout or billing, or whenever you might benefit from easy access to health plan information. The Nevada Division of Health Care Financing adheres to all applicable privacy policies and standards, including HIPAA rules and regulations, regarding protected health information. Welcome, providers! Nevada Medicaid and Nevada Check Up contracted Managed Care Organizations (MCOs) Contact Information: The Nevada Medicaid and Nevada Check Up contracted Managed Care Organizations (MCOs) are Anthem Blue Cross and Blue Shield Healthcare Solutions, Health Plan of Nevada, Molina Healthcare of Nevada and SilverSummit Healthplan. For Providers Request authorizations, submit claims, and access training Return Shopper Pick up where you left off Please select your account type. Nevada Medicaid and the Division of Welfare and Supportive Services have an easy way for members to update their address. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Thank you for your participation in Nevada Medicaid and Nevada Check Up. For other issues, you can message the Provider Relationship Management team. Anthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. New Baby, New Life education and rewards program for pregnant women and new moms, What rewards are available and which you may be eligible for, How often you can earn a reward for each healthy activity. Methods for updating your address can be found on this flyer. Please do not complete the form if you know that your address is up to date. Box 30042, Reno, NV 89520. Call: 1-844-396-2330 Adding a New Provider to your Contract Receive email from Anthem Anthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. We currently don't offer resources in your area, but you can select an option below to see information for that state. Medicare: https://www.anthem.com/medicareprovider Medicaid: https://providers.anthem.com/nevada-provider/home Availity Portal:* https://www.availity.com Availity Client Services: 1-800-AVAILITY (1-800-282-4548) Commercial/Medicare/Medicaid There are an array of valuable online tools through the Availity Portal, a secure multi-health plan portal. For help finding a plan eye doctor, call EyeQuest toll free at 1-888-300-9025 You can also live chat with an Anthem associate from within the Availity Portal. Visit docinfo.org to search for providers and find out where they went to medical school. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Medicaid Member News: Nevada Medicaid sends notifications over ListServ direct to your email regarding news, initiatives and public meetings. We look forward to working with you to provide quality service for our members.

Your dashboard may experience future loading problems if not resolved. Your Provider Relationship Management will respond usually within two business days. Your dashboard may experience future loading problems if not resolved. After hours, leave a message. Be sure to take the referral form with you when you go to the specialist.

The resources for our providers may differ between states.

You can also create an account, go paperless, and update your address at AccessNevada.dwss.nv.gov Get translation and interpretation services free of charge. The new phone number is listed below and will go into effect on April 1, 2022. Support Sections Forms The following form is for the use of Nevada Medicaid providers to certify the recipient has received prenatal/antepartum and/or oral health care .

You can redeem some benefits online through your secure account. The . Get translation and interpretation services free of charge. New digital provider enrollment tool added to Availity for Nevada. We are here to help. LiveHealth Online Visit a doctor 24/7 through live video using LiveHealth Online.

We look forward to working with you to provide quality services to our members. 1-844-396-2329 (TTY 711).