Notice of Changes to Prior Authorization Requirements - February 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

 

Changes to Prior Authorization Requirements

• Prior authorization updates for specialty pharmacy are available – February 2021*
• Medical Policy and Clinical Guideline Updates – February 2021*
• Reimbursement policy update: Emergency Room Transfers – Facility*
• Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services – Facility*