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Clinical & Pharmacy
5/20/24 AcariaHealth is leaving our specialty pharmacy network
5/16/24 Prevent childhood tooth decay with early dental intervention
5/9/24 Mail service pharmacy to suspend filling some GLP-1 meds
5/1/24 August 2024 Medical and Pharmacy Policy updates now available
4/12/24 eForms updated with gender, step therapy exception information
4/1/24 July 2024 Medical and Pharmacy Policy updates now available
3/5/24 Avoid rejected claims: Submit dosing, frequency with auth requests
3/1/24 June 2024 Medical and Pharmacy Policy updates now available
2/22/24 Include records showing medical necessity for HTR coverage
2/15/24 Blue Cross to cover annual mental health wellness exam
2/1/24 May 2024 Medical and Pharmacy Policy updates now available
1/26/24 Answers to your questions about home health care services
1/24/24 We are postponing our monitored anesthesia care claim edits
1/16/24 Temporarily waiving auth requirements for SNFs, rehab hospitals
1/5/24 New Neuropsychological and Psychological Testing medical policy
1/1/24 April 2024 Medical and Pharmacy Policy updates now available
12/12/23 Clarification on NICU level of care authorization program
12/1/23 March 2024 Medical and Pharmacy Policy updates now available
11/28/23 Your claims for Vitamin D testing
11/22/23 New specialty pharmacy will join our network in January 2024
11/16/23 New Rx needed for discontinued Flovent Diskus and Flovent HFA
11/7/23 Care for members with intellectual, developmental disabilities
11/1/23 February 2024 Medical and Pharmacy Policy updates now available
11/1/23 Inpatient Only list will be updated on Jan 1
10/27/23 Are you billing a covered diagnosis for these tests?
10/19/23 Encourage patients to protect themselves with the flu shot
10/17/23 NICU level of care auth program begins November 1
10/12/23 Are your Medicare patients due for a colorectal cancer screening?
10/1/23 January 2024 Medical and Pharmacy Policy updates now available
9/29/23 We’re complying with new step therapy law
9/29/23 We are covering community-based emergency behavioral health care
9/27/23 The link between mental and dental health is bidirectional
9/22/23 Colonoscopy or other screening? Help your patient decide
9/13/23 Synagis benefits and coverage for 2023-24 season
9/1/23 December 2023 Medical and Pharmacy Policy updates now available
8/28/23 Sign up for NICU level of care authorization training—New dates!
8/22/23 PCPs: Stay up to date on your patients’ routine & preventive care
8/1/23 November 2023 Medical and Pharmacy Policy updates now available
7/27/23 NICU level of care authorization program delayed until Nov 1
7/13/23 Doctor—and patient—know best
7/5/23 Learn about NICU level of care authorizations and case management
7/1/23 October 2023 Medical and Pharmacy Policy updates now available
6/30/23 Personalized care & support for members diagnosed with diabetes
6/23/23 2023 information about our clinical programs
6/6/23 Work with your patient to control asthma
6/1/23 September 2023 Medical and Pharmacy Policy updates now available
5/19/23 We are postponing our monitored anesthesia care claim edits
5/8/23 Our partnership with Cricket Health is ending
5/1/23 August 2023 Medical and Pharmacy Policy updates now available
4/28/23 Quantity limits increased on generics of Adderall XR, Concerta
4/27/23 Support for Medicare Advantage patients with chronic kidney disease
4/13/23 What to know about the end of the COVID-19 public health emergency
4/3/23 Reminder: Authorization required for musculoskeletal services
4/1/23 July 2023 Medical and Pharmacy Policy updates now available
3/29/23 Preventive mammography screenings
3/3/23 Simplifying auth entry for cancer treatment
3/1/23 June 2023 Medical and Pharmacy Policy updates now available
2/13/23 Help your patients achieve their best heart health
2/7/23 We're removing prior authorization for certain child psychiatric treatments
2/1/23 May 2023 Medical and Pharmacy Policy updates now available
1/19/23 DOI defines abortion-related care
1/1/23 April 2023 Medical and Pharmacy Policy updates now available
12/22/22 Use Authorization Manager to submit clinical documentation
12/14/22 Temporarily waiving auth requirements for SNFs, rehab hospitals
12/9/22 New pharmacy benefits for our members—coming in 2023
12/6/22 Schedule wellness visits with your Medicare Advantage patients
12/1/22 March 2023 Medical and Pharmacy Policy updates now available
11/29/22 Introducing the Inpatient Only list
11/17/22 Encourage your patients to take flu shot, COVID-19 booster
11/1/22 February 2023 Medical and Pharmacy Policy updates now available
10/14/22 Synagis benefits and coverage for 2022-2023 season
10/1/22 January 2023 Medical and Pharmacy Policy updates now available
9/9/22 Help your patients control their blood pressure
9/1/22 December 2022 Medical and Pharmacy Policy updates now available
8/29/22 Steps we’re taking to help our members with diabetes
8/22/22 How do you recommend? Boost your HPV vaccination rates
8/22/22 How do you recommend? Encouraging patients to stay current on vaccines
8/16/22 New fertility pharmacy joined our network
8/16/22 Are your patients past due for preventive care?
8/8/22 Novavax approved as fourth COVID-19 vaccine
8/1/22 November 2022 Medical and Pharmacy Policy updates now available
7/1/22 October 2022 Medical and Pharmacy Policy updates now available
6/30/22 Reduce COPD care disparity: Check Rx after discharge
6/28/22 Are you collaborating with mental health providers?
6/24/22 Reproductive health travel benefit
6/7/22 Prior authorization for Rx infant formula suspended until Aug 18
6/1/22 September 2022 Medical and Pharmacy Policy updates now available
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Web Content Viewer
Clinical & Pharmacy
5/20/24 AcariaHealth is leaving our specialty pharmacy network
5/16/24 Prevent childhood tooth decay with early dental intervention
5/9/24 Mail service pharmacy to suspend filling some GLP-1 meds
5/1/24 August 2024 Medical and Pharmacy Policy updates now available
4/12/24 eForms updated with gender, step therapy exception information
4/1/24 July 2024 Medical and Pharmacy Policy updates now available
3/5/24 Avoid rejected claims: Submit dosing, frequency with auth requests
3/1/24 June 2024 Medical and Pharmacy Policy updates now available
2/22/24 Include records showing medical necessity for HTR coverage
2/15/24 Blue Cross to cover annual mental health wellness exam
2/1/24 May 2024 Medical and Pharmacy Policy updates now available
1/26/24 Answers to your questions about home health care services
1/24/24 We are postponing our monitored anesthesia care claim edits
1/16/24 Temporarily waiving auth requirements for SNFs, rehab hospitals
1/5/24 New Neuropsychological and Psychological Testing medical policy
1/1/24 April 2024 Medical and Pharmacy Policy updates now available
12/12/23 Clarification on NICU level of care authorization program
12/1/23 March 2024 Medical and Pharmacy Policy updates now available
11/28/23 Your claims for Vitamin D testing
11/22/23 New specialty pharmacy will join our network in January 2024
11/16/23 New Rx needed for discontinued Flovent Diskus and Flovent HFA
11/7/23 Care for members with intellectual, developmental disabilities
11/1/23 February 2024 Medical and Pharmacy Policy updates now available
11/1/23 Inpatient Only list will be updated on Jan 1
10/27/23 Are you billing a covered diagnosis for these tests?
10/19/23 Encourage patients to protect themselves with the flu shot
10/17/23 NICU level of care auth program begins November 1
10/12/23 Are your Medicare patients due for a colorectal cancer screening?
10/1/23 January 2024 Medical and Pharmacy Policy updates now available
9/29/23 We’re complying with new step therapy law
9/29/23 We are covering community-based emergency behavioral health care
9/27/23 The link between mental and dental health is bidirectional
9/22/23 Colonoscopy or other screening? Help your patient decide
9/13/23 Synagis benefits and coverage for 2023-24 season
9/1/23 December 2023 Medical and Pharmacy Policy updates now available
8/28/23 Sign up for NICU level of care authorization training—New dates!
8/22/23 PCPs: Stay up to date on your patients’ routine & preventive care
8/1/23 November 2023 Medical and Pharmacy Policy updates now available
7/27/23 NICU level of care authorization program delayed until Nov 1
7/13/23 Doctor—and patient—know best
7/5/23 Learn about NICU level of care authorizations and case management
7/1/23 October 2023 Medical and Pharmacy Policy updates now available
6/30/23 Personalized care & support for members diagnosed with diabetes
6/23/23 2023 information about our clinical programs
6/6/23 Work with your patient to control asthma
6/1/23 September 2023 Medical and Pharmacy Policy updates now available
5/19/23 We are postponing our monitored anesthesia care claim edits
5/8/23 Our partnership with Cricket Health is ending
5/1/23 August 2023 Medical and Pharmacy Policy updates now available
4/28/23 Quantity limits increased on generics of Adderall XR, Concerta
4/27/23 Support for Medicare Advantage patients with chronic kidney disease
4/13/23 What to know about the end of the COVID-19 public health emergency
4/3/23 Reminder: Authorization required for musculoskeletal services
4/1/23 July 2023 Medical and Pharmacy Policy updates now available
3/29/23 Preventive mammography screenings
3/3/23 Simplifying auth entry for cancer treatment
3/1/23 June 2023 Medical and Pharmacy Policy updates now available
2/13/23 Help your patients achieve their best heart health
2/7/23 We're removing prior authorization for certain child psychiatric treatments
2/1/23 May 2023 Medical and Pharmacy Policy updates now available
1/19/23 DOI defines abortion-related care
1/1/23 April 2023 Medical and Pharmacy Policy updates now available
12/22/22 Use Authorization Manager to submit clinical documentation
12/14/22 Temporarily waiving auth requirements for SNFs, rehab hospitals
12/9/22 New pharmacy benefits for our members—coming in 2023
12/6/22 Schedule wellness visits with your Medicare Advantage patients
12/1/22 March 2023 Medical and Pharmacy Policy updates now available
11/29/22 Introducing the Inpatient Only list
11/17/22 Encourage your patients to take flu shot, COVID-19 booster
11/1/22 February 2023 Medical and Pharmacy Policy updates now available
10/14/22 Synagis benefits and coverage for 2022-2023 season
10/1/22 January 2023 Medical and Pharmacy Policy updates now available
9/9/22 Help your patients control their blood pressure
9/1/22 December 2022 Medical and Pharmacy Policy updates now available
8/29/22 Steps we’re taking to help our members with diabetes
8/22/22 How do you recommend? Boost your HPV vaccination rates
8/22/22 How do you recommend? Encouraging patients to stay current on vaccines
8/16/22 New fertility pharmacy joined our network
8/16/22 Are your patients past due for preventive care?
8/8/22 Novavax approved as fourth COVID-19 vaccine
8/1/22 November 2022 Medical and Pharmacy Policy updates now available
7/1/22 October 2022 Medical and Pharmacy Policy updates now available
6/30/22 Reduce COPD care disparity: Check Rx after discharge
6/28/22 Are you collaborating with mental health providers?
6/24/22 Reproductive health travel benefit
6/7/22 Prior authorization for Rx infant formula suspended until Aug 18
6/1/22 September 2022 Medical and Pharmacy Policy updates now available