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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.

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
5/19/22 Transplant approvals to extend for two years
5/17/22 Help your patients with asthma breathe easier
5/16/22 2022 information about our clinical programs
5/6/22 Authorization requirements previously relaxed to resume May 17
5/6/22 Remdesivir approved as treatment for kids under 12
5/5/22 New partnerships expand options for mental health care
5/2/22 Reminder: Total joint replacement level of care review
5/1/22 August 2022 Medical and Pharmacy Policy updates now available
4/28/22 Removing authorization requirements for hysterectomies
4/18/22 Bebtelovimab fights COVID subvariant now dominant in Massachusetts
4/15/22 Authorization will be required for commercial EPO, PPO members
4/7/22 Submit psychiatric specialing service requests with authorization
4/1/22 July 2022 Medical and Pharmacy Policy updates now available
3/28/22 Metro Drugs to leave fertility specialty pharmacy network May 1
3/16/22 COVID-19 treatments available across Massachusetts
3/2/22 Auth requirements and credentialing procedures continue to be relaxed
3/1/22 June 2022 Medical and Pharmacy Policy updates now available
2/28/22 New ABA medical policy to replace InterQual criteria
2/25/22 Include cancer diagnosis on oncology claims
2/24/22 Kidney disease support program for commercial members through Cricket Health
2/10/22 New resources for at-home COVID-19 testing
2/1/22 May 2022 Medical and Pharmacy Policy updates now available
1/27/22 FDA Changes: Some Monoclonal Antibody Treatments No Longer Covered
1/18/22 At-home COVID test coverage for members began Jan 15
1/1/22 April 2022 Medical and Pharmacy Policy updates now available
12/27/21 Schedule wellness visits with your Medicare Advantage patients
12/10/21 New chronic kidney disease program for Medicare Advantage members
12/7/21 Epidural steroid injection medical policy reminder
12/1/21 March 2022 Medical and Pharmacy Policy updates now available
11/24/21 Authorization requirements and credentialing procedures relaxed
11/15/21 Do you prescribe infused or injected medications?
11/1/21 February 2022 Medical and Pharmacy Policy updates now available
10/25/21 Help your dental patients who have Sjögren’s Syndrome
10/22/21 Getting back pain to back off
10/15/21 Flu shots for 2021-2022: Why it’s so important
10/5/21 PT & OT authorization simplification
10/1/21 January 2022 Medical and Pharmacy Policy updates now available
9/22/21 Synagis benefits and coverage for 2021-22 season
9/1/21 December 2021 Medical and Pharmacy Policy updates now available
8/31/21 Telehealth coverage reminders
8/30/21 Vaccine updates: boosters, proof of vaccination
8/25/21 Get your inpatient surgeries approved faster using Auth Manager
8/17/21 Keep preventive care a priority for your patients
8/16/21 CVS Caremark to manage pharmacy benefits in 2023
8/1/21 November 2021 Medical and Pharmacy Policy updates now available
7/20/21 Protecting kids from cancer one shot at a time
7/7/21 Use Authorization Manager for faster approvals of your requests
7/1/21 October 2021 Medical and Pharmacy Policy updates now available
6/30/21 Outpatient cancer care authorization reminders, update
6/29/21 Help your dental patients who have had a stroke