Notices of material changes/amendments to contract - June 2023

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:

• MCG Care Guidelines 27th Edition
• Updates to Carelon Medical Benefits Management, Inc.* advanced imaging, sleep disorder management, and spine surgery Clinical Appropriateness Guidelines
• Reimbursement policy update: Bundled Services and Supplies policy – Professional
• Clinical Criteria updates for specialty pharmacy
• Specialty pharmacy updates – June 2023