Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- October 2019

Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.

 

Administrative

• National Accounts 2020 Pre-certification list*

 

Reimbursement Policies

• Reimbursement Policy update: Place of Service- Professional*

 

Federal Employees Health Benefits (FEHB)

• Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review*
• Pre-certification information for the Federal Employee Program*

 

Other Important Updates

• Medicare and Medicaid News