State & FederalMedicaidSeptember 1, 2022

Specialty pharmacy site of care program retraction

On November 11, 2021, the below Provider Update specific to Specialty Pharmacy Site of Care was posted to the Anthem Blue Cross and Blue Shield Medicaid provider website. The notice informed providers that effective as of March 1, 2022, for specific billing codes, a review to determine the appropriate site of care occurred per Clinical Guideline, Site of Care: Specialty Pharmaceuticals, CG-MED-83.

 

Please be advised that the November 11, 2021, Provider Update specific to Specialty Pharmacy Site of Care is being retracted. We will not be implementing the review on March 1, 2022. If a change is planned in the future, a new Provider Update will be posted. A copy of the November 2021 Provider Update is below in this notification as reference.

 

AKY-NU-0388-22