Notices of material changes/amendments to contract – September 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:

• Precertification list change notification effective December 1, 2023
• Specialty pharmacy updates – September 2023
• Clinical Criteria updates for specialty pharmacy
• Reimbursement policy update: Documentation Standards for Episodes of Care — Professional