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Clinical & Pharmacy

In the “Current” tab, you’ll find news published during the past year. Use the “Archive” tab to view news going back an additional two years.

12/6/24 Encompass Fertility specialty pharmacy has closed
12/3/24 Immunization information for the 2024-2025 cold and flu season
12/1/24 March 2025 Medical and Pharmacy Policy updates now available
11/21/24 Reminder: Change to pharmacy medical policy 056 related to GLP-1
11/20/24 We’re sending test kits to members for A1c, blood pressure, & kidney health
11/12/24 Habilitation services do not require authorization
11/1/24 Helping patients with diabetes get important retinal screenings
11/1/24 February 2025 Medical and Pharmacy Policy updates now available
11/1/24 Inpatient Only list will be updated on Jan 1
10/23/24 Colorectal cancer screening kits have been sent to your patients
10/1/24 January 2025 Medical and Pharmacy Policy updates now available
9/6/24 Submit NICU claims at level of care approved
9/4/24 Schedule wellness visits with your Medicare Advantage patients
9/3/24 Reminder on NCD/LCD policies for Medicare Advantage members
9/1/24 December 2024 Medical and Pharmacy Policy updates now available
8/29/24 Coordinating medical and mental health care for better health outcomes
8/28/24 Help your patients control their blood pressure
8/27/24 We’re encouraging your patients to have routine & preventive care
8/16/24 Submit required clinical to avoid delays in auth processing
8/1/24 November 2024 Medical and Pharmacy Policy updates now available
8/1/24 We launched a doula pilot program! Here’s what you need to know.
7/23/24 2024 information about our clinical programs
7/11/24 Should your patient take a statin medication?
7/1/24 October 2024 Medical and Pharmacy Policy updates now available
6/1/24 September 2024 Medical and Pharmacy Policy updates now available
5/30/24 Helping your patients with asthma this allergy season
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