CommercialJuly 1, 2021

July 2021 Newsletter

Administrative

AdministrativeCommercialJune 30, 2021

Surgical Clinical Site of Care review updates

AdministrativeCommercialJune 30, 2021

Another mark of the pandemic: an increase in childhood obesity

AdministrativeCommercialJune 30, 2021

Commercial Repapering: Important update

Digital SolutionsCommercialJune 30, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

Digital SolutionsCommercialJune 30, 2021

Electronic claim response files

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 30, 2021

Medical policy updates and clinical guideline updates
Material adverse change (MAC) notification

Reimbursement PoliciesCommercialJune 30, 2021

New reimbursement policy: Non-patient Laboratory Services (Facility)
Material adverse change (MAC) notification

Reimbursement PoliciesCommercialJune 30, 2021

Reimbursement policy update: Consultations (Professional)
Material adverse change (MAC) notification

Products & Programs

Products & ProgramsCommercialJune 30, 2021

Blue Precision program to be retired at the end of the year

Products & ProgramsCommercialJune 30, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021

Material adverse change (MAC) notification

Federal Employee Program (FEP)CommercialJune 30, 2021

Federal Employee Program® AIM Radiology prior authorization review
Material adverse change (MAC) notification

PharmacyCommercialJune 30, 2021

Clinical Criteria updates for specialty pharmacy
Material adverse change (MAC) notification

PharmacyCommercialJune 30, 2021

Updates for specialty pharmacy are effective October 1, 2021
Material adverse change (MAC) notification

PharmacyCommercialJune 30, 2021

Designated specialty pharmacy network updates effective October 1, 2021
Material adverse change (MAC) notification

State & Federal

State & FederalMedicaidJune 30, 2021

Let’s Vaccinate

State & FederalMedicaidJune 30, 2021

Medical drug benefit Clinical Criteria updates

State & FederalMedicaidJune 30, 2021

Coding spotlight: mental disorders in childhood

State & FederalMedicaidJune 30, 2021

What Matters Most: Improving the Patient Experience

State & FederalMedicaidJune 30, 2021

Resources to support your diverse patient panel

State & FederalMedicaidJune 30, 2021

Keep up with Medicaid news

State & FederalMedicare AdvantageJune 30, 2021

Let’s Vaccinate

State & FederalMedicare AdvantageJune 30, 2021

Medical drug benefit Clinical Criteria updates