Notices of material changes/amendments to contract - December 2022

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