Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

 

  • Clinical Criteria updates for specialty pharmacy
  • Specialty pharmacy updates – December 2022
  • AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update
  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Reimbursement policy update: Bundled Services and Supplies – Professional
  • Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services – Facility

MEBCBS-CM-014434-22



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December 2022 Provider Newsletter - Maine