Medicare AdvantageJanuary 31, 2023
Keep up with Medicare news - February 2023
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
Please continue to read news and updates at empireblue.com/medicareprovider for the latest Medicare Advantage information, including:
- Introducing the Provider Learning Hub
- Empire BlueCross expands specialty pharmacy precertification list (Fylnetra)
- Empire BlueCross expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements (Infed, Injectafer, Monoferric)
- AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
- Revised program implementation date prior authorizations for post-acute care
- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
- Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023
PUBLICATIONS: February 2023 Newsletter
To view this article online:
Visit https://providernews.anthem.com/new-york/articles/keep-up-with-medicare-news-february-2023-3-12643
Or scan this QR code with your phone