Medical policy and clinical guideline updates - June 2021*

This following updates are for Anthem Blue Cross and Blue Shield in Indiana, Kentucky, Missouri, Ohio and Wisconsin.

 

Clinical guideline retraction

 

We previously announced that clinical guideline, CG-DME-42 Non-implantable Insulin Infusion and Blood Glucose Monitoring Devices, would be adopted effective February 1, 2021. A decision has been made to not adopt this guideline.

 

Medical policy update

 

Anthem will be implementing changes to the medical policy shown below that is currently adopted.

 

DME.00009 – Vacuum Assisted Wound Therapy will require precertification effective September 1, 2021

 

To view medical policies and utilization management guidelines applicable to members enrolled in the Blue Cross and Blue Shield Service Benefit Plan (commonly referred to as the Federal Employee Program_® (FEP_®)), please visit www.fepblue.org > Policies & Guidelines.

 

1166-0621-PN-CNT