Notices of material changes/amendments to contract — February 2024

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:

• Medical Policy and Clinical Guideline updates
• Clinical Criteria updates for specialty pharmacy
• New reimbursement policy: Modifier Usage – Facility update
• MCG care guidelines 27th edition update
• Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic Testing
• Carelon Medical Benefits Management, Inc. genetic testing code updates
• Specialty pharmacy updates — February 2024