August 25th, 2022. He or she may tell you to come into the office right away, go to an urgent care center, or go to the ER. The table below shows the regularly scheduled maintenance window. The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. to midnight Pacific Time Sunday, November 20, 2022, for scheduled maintenance: Secure Provider Web Portal (Electronic Verification System - EVS) Online Provider Enrollment (OPE) Online Prior Authorization (PA) system Online Claims Submission Medicaid provides benefits to keep you healthy. Anthem Blue Cross and Blue Shield Healthcare Solutions (844) 396-2329 Anthem Benefit Fact Sheet (English) Anthem Benefit Fact Sheet (Spanish) Health Plan of Nevada (800) 962-8074 HPN Benefit Fact Sheet (English) HPN Benefit Fact Sheet (Spanish) Molina Healthcare of Nevada (833) 685-2102 Anthem Blue Cross/Blue Shield: Medicaid and Other Publicly-Funded Programs . Providers We view our providers as partners and we offer resources and tools to help them best serve our members. For more information, visit Healthy Rewards on theBenefit Reward Hub or 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. Let our specialists tell you what your plan offers and how to use the benefits to your advantage. Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. How often do you get rewarded for doing something good for your health? Visit our COVID-19 Resource Center for more information. Login for secure access . It can be a convenient and easy way to see the doctor when your doctor isnt available, or you simply cant make it to the doctors office. We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Get translation and interpretation services free of charge. 1-844-396-2329 (TTY 711) Anthem Blue Cross and Blue Shield Healthcare Solutions We've been helping Nevada families get and stay healthy since 2009. 2. Get translation and interpretation services free of charge. Is Elizabeth Martinez accepting new patients? Jun 1, 2021 Administrative / Digital Tools. AMA and ADA assume no liability for data contained or not contained on this website and on documents posted herein. Youll need a referral from your PCP before: For most services, youll go to your PCP or another provider in our network. 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). Anthem Nevada Member Services Phone: (844) 396-2329 Website: www.anthem.com/nvmedicaid Health Plan of Nevada (HPN) Health Plan of Nevada (HPN) Member Services Phone: (800) 962-8074 Fax: (702) 240-6281 Website: https://myhpnmedicaid.com/Provider LIBERTY Dental Plan of Nevada Liberty Dental Plan of Nevada Member Services Phone: (866) 609-0418 1-844-396-2331. 6642. Please note the daycare and gestational diabetes pregnancy meal benefits start on October 1, 2022. You can search by provider name, city and state, or specialty. You can also view the Nevada Medicaid Response to members and providers on the Novel Coronavirus (COVID-19)or visit theNevada Health Response website. We are working hard to support providers throughout Nevada in receiving necessary training for this new workflow. Provider forms are located in our online library for easy access. Access the Claims Status Listing on Payer Spaces from anthem.cominmedicaiddoc using the Log In button or through the secure provider portal via Availity . Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines Page 2 of 2 As a reminder, ordering and servicing providers may submit prior authorization requests to AIM through the AIM Provider Portal directly at www.providerportal.com . ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. Be sure to take the referral form with you when you go to the specialist. 1-844-396-2329 (TTY 711). Anthem has a large network of doctors and nurses who help our members. Anthem members in Nevada receive routine vision services through EyeQuest. Experience with Medicaid/Health Exchange data and PHI/PII requirements Experience and knowledge of X12 and NCPDP HIPAA Transactions and Code Sets Experience with NDA's and BAA's 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. Lets make healthy happen, 2021Anthem Insurance Companies, Inc., Privacy Guidance When Selecting Third-Party Apps (English), Privacy Guidance When Selecting Third-Party Apps (Spanish), Going to a hospital for non-emergency care, Care provided by your Anthem network PCPs nurse or doctors assistant, Eye exams from an Anthem network eye care provider (optometrist), Family planning services from any qualified family planning provider, Healthy Kids visits to an Anthem network provider, Prenatal care from an Anthem network obstetrician or certified nurse-midwife, Yearly exams from an Anthem network OB/GYN. Please update your browser if the service fails to run our website. Your PCP will tell you what to do. Search for up-to-date drug information, including hundreds of brand-name and generic medications. Take Advantage of a Rising Rate Environment. These are called self-referral services and include: Make healthy happen wherever you go. Mar 27, 22 (Updated: Sep 20, 22) To get Nevada Medicaid benefits through Anthem, you must have limited income and live in one of our service areas. You can also visit bcbs.com to find resources for other states. Monday - Friday Call Member Services at Access to the information does not require an Availity role assignment, tax ID or NPI. 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. 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. Total Vists. Healthy Rewards is a program that pays you for taking control of your health. 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. 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. Welcome to the Cybersecurity Resource Hub. To get Nevada Medicaid benefits through Anthem, you must have limited income and live in one of our service areas. Please visit the Member Outreach page for resources to assist with important messaging. Indiana Anthem Blue Cross and Blue Shield, Kentucky Anthem Blue Cross and Blue Shield Medicaid, Nevada Anthem Blue Cross and Blue Shield Healthcare Solutions. Whether its 3 a.m. or a Sunday afternoon with the family, health issues happen at the most inconvenient times and places. Or, in an emergency, call 911. 12:00AM - 12:30AM, Monday Type at least three letters and we will start finding suggestions for you. LiveHealth Online. IN VIRGINIA: HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Most people pay very little and some pay nothing at all for Medicaid. Members can call EyeQuest at 1-800-787-3157 Navigate to the Precertification Lookup Tool on the Availity Portal by selecting either 1) Payer Spaces or 2) Patient Registration from Availity's homepage. Log In to Your Anthem Account | Anthem.com Log In Espaol For Members Print ID cards, view claims, pay bills For Employers Manage your employees' benefits For Producers Find the tools to grow your business For Providers Request authorizations, submit claims, and access training Return Shopper Pick up where you left off Pharmacy Member Services: 1-833-207-3116 (TTY 711). 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Provider Spotlight AIM PT/OT/ST Authorization Important Notice Anthem taps Paul Marchetti to lead company's overall care transformation strategy Medicare Supplement claim error expected to be resolved by March 31 As of December 2, 2021, stand-alone COVID-19 vaccine counseling (when a COVID-19 vaccine is counseled and not administered) is a covered Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit for children under the age of 21 years old in Medicaid and Nevada Check Up. Generally, Medicaid members are in the following categories: Under age 21 A pregnant woman A family with children Childless adult aged 19-64 who meets federal income requirements See if you're eligible. Our 24/7 NurseLine is a resource you call when life throws you a curve ball: 1-800-600-4441 (TTY 711). January 2023 Anthem Provider News - Ohio . COVID-19 vaccines for youth toolkit available. There's no more critical person on this team than you, the provider. Or, in an emergency, call 911. In partnership with Anthem Medicaid, CHESS Health is now offering theConnections App, available forfreeto you and your patients covered by Anthem Medicaid. Serve more than 350,000 Medicaid members. Our 24/7 NurseLine is a resource you call when life throws you a curve ball. The program allows members to engage with a qualified mental health professional and receive information. Have a doctor by your side with LiveHealth Online. Anthem Providers | California California Providers Availity access The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Anthem Blue Cross and Blue Shield offers Medicare Advantage plans with Essential Extras Blue Cross and Blue Shield of New Mexico has contracted with AIM to provide certain utilization management prior authorization services for certain Commercial, Retail and ASO members and Blue Cross Community Centennial Members. 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