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Title Publication Date
Documentation and Coding for Bipolar, Delusional & Personality Disorders 2023-01-11
Expansion of Medicare Part B Step Therapy and Prior Authorization Requirements 2023-01-11
New specialty pharmacy medical step therapy requirements (Healthy Blue + Medicare HMO D-SNP) 2022-12-28
Medical Policies and Clinical Utilization Management Guidelines Update (Healthy Blue + Medicare HMO D-SNP) 2022-12-28
Measurement Year 2023 MA QIP Policy Update 2022-12-20
HEDIS Measurement Year 2022 Medical Record Review begins in February 2022-12-12
Prior Authorization Requirement Changes Effective April 1, 2023 (Healthy Blue + Medicare HMO D-SNP) 2022-12-12
Specialty Pharmacy Precertification List Expansion Effective April 1 (Healthy Blue + Medicare HMO D-SNP) 2022-12-12
Specialty Pharmacy Precertification List Expansion (Healthy Blue + Medicare HMO D-SNP) 2022-12-12
Provider Training Session for the Enhanced Cardiology Program with AIM Specialty Health 2022-12-09
Specialty pharmacy precertification list expansion (Healthy Blue + Medicare HMO D-SNP) 2022-12-08
New Specialty Pharmacy Medical Step Therapy Requirements (Healthy Blue + Medicare HMO D-SNP) 2022-12-06
Medicare Advantage – Prior authorization requirement changes effective (Healthy Blue + Medicare HMO D-SNP) March 1, 2023 2022-12-01
Update – NCQA Survey for PCPs, Oncologists and OB-GYNs 2022-11-29
Enhanced Editing Affecting Drugs & Biological Agents 2022-11-23
Reminder for Place of Service and Durable Medical Equipment 2022-11-23
Update - Evaluation and Management (E&M) Claims Reprocessing 2022-11-23
Clinical Criteria Updates (Healthy Blue + Medicare HMO D-SNP) 2022-11-21
June 2022 Clinical Criteria Updates (Healthy Blue + Medicare HMO D-SNP) 2022-11-21
Prior Authorization Requirement Changes (Healthy Blue + Medicare HMO D-SNP) 2022-11-21
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