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August 2024 Medical and Pharmacy Policy updates now available
May 1, 2024

We’ve posted new, revised, clarified, and retired medical and pharmacy medical policies, effective in August 2024.

Medicare Advantage policies

 Medical policy 132, Medicare Advantage Management

(This document explains whether we use CMS criteria—or our own—to make coverage determinations for our Medicare Advantage members.)

Medicare Advantage section of our medical policy site.

FEP medical policies 

Visit fepblue.org and search for medical policies.