Click here to view the United Healthcare (UHC) Medical Policy Updates » March 2025 United…

BCBS Massachusetts Medical Policy Updates – August 2024
Click here to view the Blue Cross Blue Shield BCBS Massachusetts Medical Policy Updates »
August 2024 BCBS Massachusetts Medical Policy Updates:
- Antihyperlipidemics Policy
- Diabetes Step Therapy
- Drug Management & Retail Pharmacy Prior Authorization Policy
- Entyvio (vedolizumab) Policy
- Immune Modulating Drugs
- Immunoglobulins Policy
- Oncology Drugs (Oral and Subcutaneous)
- Actigraphy
- Adoptive Cell Therapies for Melanoma
- Adoptive Cell Therapies for Melanoma
- Adoptive Immunotherapy
- Assisted Reproductive Services
- Automated Percutaneous and Percutaneous Discectomy
- Autonomic Nervous System Testing
- Benign Skin Lesions
- Bronchial Thermoplasty
- Bronchial Valves
- CAR T-Cell Therapy Services for Follicular Lymphoma (Axicabtagene Ciloleucel) Prior Authorization Request Form
- CAR T-Cell Therapy Services for Non-Hodgkin Lymphoma (Lisocabtagene Maraleucel) Prior Authorization Request Form
- Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting
- Chimeric Antigen Receptor Therapy for Hematologic Malignancies
- Chimeric Antigen Receptor Therapy for Leukemia and Lymphoma
- Electromagnetic Navigation Bronchoscopy
- Electromyography and Nerve Conduction Studies
- Elzonris (tagraxofusp-erzs) for the Treatment of Blastic Plasmacytoid Dendritic Cell Neoplasm
- Enhanced External Counterpulsation – EECP – for Chronic Stable Angina or Congestive Heart Failure
- Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
- Fecal Calprotectin Testing
- Gene Therapies for Cerebral Adrenoleukodystrophy
- Gene Therapies for Thalassemia
- Gene Therapies for Thalassemia
- Gene Therapies for Thalassemia
- Glucagon-like Peptide-1 (GLP-1) Receptor Agonists and Related Drugs for the Treatment of Type 2 Diabetes
- Home Cardiorespiratory Monitoring
- Injectable Asthma Medications
- Interferential Current Stimulation
- Low-Level Laser Therapy
- Lung Volume Reduction Surgery for Severe Emphysema
- Medicare Advantage Part B Medical Utilization Management Medicare HMO BlueSM and Medicare PPO BlueSM Members
- Minimally Invasive Ablation Procedures for Morton and Other Peripheral Neuromas
- Monoclonal Antibodies for Treatment of Alzheimer’s Disease
- Multibiomarker Disease Activity Blood Test for Rheumatoid Arthritis
- Multicancer Early Detection Testing
- Navigated Transcranial Magnetic Stimulation
- Neurofeedback
- Outpatient Prior Authorization Code List for Commercial Plans Managed Care (HMO and POS), PPO, EPO and Indemnity
- Paraspinal Surface Electromyography to Evaluate and Monitor Back Pain
- Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy and Restorative Neurostimulation Therapy
- Photodynamic Therapy for Choroidal Neovascularization
- Quantitative Sensory Testing
- Reconstructive Breast Surgery/Management of Breast Implants
Click here to view the Blue Cross Blue Shield BCBS Massachusetts Medical Policy Updates »
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