AdministrativeCommercialMarch 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - March 2020

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.
  • Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020*
  • National Drug Code requirement on outpatient claims*