2022 Notifications
MEDICAID MEMBER REASSIGNMENT 2022
GENERAL NOTIFICATIONS
- Secure Provider Portal Enhancements 9.30.22 (PDF)
- Peer to Peer with Treating Physicians only 9.29.22 (PDF)
- Health Information Exchange (HIE) Letter 5.19.22 (PDF)
- NV Provider Notification Treatment Rooms 2.18.22 (PDF)
PROVIDER UPDATES
MEDICAID NOTIFICATIONS
- Provider Reconsideration Notification 1.3.23 (PDF)
- Provider Guidance on Filing an Appeal or Grievance for Members 11.16.22 (PDF)
- Pharmcy Announcement: Diabetic Strips for High Risk Pregnancies 11.14.22 (PDF)
- Pulmonary Function Testing (Medicaid and Ambetter) effective 12.1.22 (PDF)
- Member Interpreter Services 10.19.22 (PDF)
- Medicaid Network Changes Pulmonology 10.17.22 (PDF)
- Provider Forum Invite (PDF)
- Cognitive Assessment and Care Planning Procedure Code 99438 8.3.22 (PDF)
- Medicaid Network Changes Hematology Oncology 6.6.22 (PDF)
- Medicaid Network Changes Physical and Occupational Therapy 4.19.22 (PDF)
- Guidance on Registering Group and Individual NPI with the State 4.13.22 (PDF)
- Medicaid Network Changes Opthalmology Services 2.22.22 (PDF)
- SilverSummit NIA Peer to Peer What to Expect 2.10.22 (PDF)
- Discontinuation of Peer to Peer 2.10.22 (PDF)
- Somatus Care Management 1.12.22 (PDF)
- Walgreens Announcement1.1.22.22 (PDF)
- Medicaid Network Changes Pain Management 10.14.20 (PDF)
- Medicaid Network Changes Cardiology 6.3.20 (PDF)
AMBETTER NOTIFICATIONS
- 2022 Ambetter Provider NCQA Notification 11.14.22 (PDF)
- Ambetter Value Training starting December 2022 (PDF)
- Ambetter: Your Partner in Better Healthcare 7.28.22 (PDF)
- Ambetter from SilverSummit Peer to Peer What to Expect 2.10.22 (PDF)
- Ambetter Value Combined PCP Specialist Reminder on Referral 2.9.22 (PDF)
- Ambetter Value Referral Requirements and Claims Sheet 1.1.22 (PDF)
WELLCARE BY ALLWELL NOTIFICATIONS
- NV Allwell Short Inpatient Hospital Stay Policy Notification effective 12.17.22 (PDF)
- Medicare PA List Changes effective 010123 (PDF)
- Allwell Policies effective 010123 Provider Notification (PDF)
- Medicare Part B Drug List effective 010123 (PDF)
- Medicare PA Change Summary Effective 10.1.22 (PDF)
- 2022 Provider Forum Invite on Transforming the Patient Experience (PDF)
- Update and Certify Provider Data in CMS’s National Plan & Provider Enumeration System (NPPES) 9.16.22
- Medicare P2P and Inpatient PA Changes - 30 Day Notification for 9.2022 (PDF)
- Claims Xten Optimization effective 9/2/22 (PDF)
- Medicare Prior Authorization List Change eff 7/1/2022 (PDF)
- Provider Orientation Booklet 2022 (PDF)
- Provider PaySpan Information Sheet 2022 (PDF)
- Provider Pocket Folder 2022 (PDF)
- Provider Quick Reference Guide 2022 (PDF)
- Provider Risk Adjustment Tip Sheet 2022 (PDF)
- Provider Secure Portal Instruction Sheet 2022 (PDF)
- Provider Welcome Letter 2022 (PDF)
- Provider Window Decal 2022 (PDF)
- Provider Prior Authorization Tip Sheet 2022 (PDF)