Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: April 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.

 

• Medical Policy and Clinical Guidelines Updates – April 2019*

 

• Specialty Pharmacy Prior Authorization List Updates*

 

• AIM Clinical Appropriateness Guidelines Updates*

 

• Reimbursement Policy Updates*

 

• Medicare and Medicaid Updates*