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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.

    6/1/23 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