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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.

    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