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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.

    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
    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