BCBS Massachusetts Medical Policy Updates – December 2018

December 2018 Medical Policy Updates:

• Allogeneic Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias
• Allogeneic Hematopoietic Cell transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms
• Alphabetical Index of Policies
• Assisted Reproductive Services Infertility Services
• Assisted Reproductive Technology Services Form for Policy Infertility Diagnosis and Treatment
• Asthma and Chronic Obstructive Pulmonary Disease Medication Management
• Autologous Hematopoietic Stem Cell Transplantation for Malignant
• Biomarkers for Diagnosis & Cancer Risk Assessment of Prostate Cancer
• Calcitonin Gene-Related Peptide
• Compound Medications Exclusion Drug List
• Compound Medications Inclusion Drug List
• Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid
• Diabetes Step Therapy
• Dificid fidaxomicin
• Directory of Documents, 411
• Drug Management and Prior Authorization
• Endovascular Stent Grafts for Disorders of the Thoracic Aorta
• Epidural Steroid Injections for Neck and Back Pain
• Expanded Molecular Panel Testing of Cancers to Identify Targeted Therapies
• Growth Hormone and Insulin-like Growth Factor
• Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia
• Hematopoietic Cell Transplantation for Autoimmune Diseases
• Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma
• Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia
• Hematopoietic Cell Transplantation for CNS Embryonal Tumors and Ependymoma
• Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer
• Hematopoietic Cell Transplantation for Hodgkin Lymphoma
• Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults
• Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas
• Hematopoietic Cell Transplantation for Plasma Cell Dyscracias, Including Multiple Myeloma and POEMS Syndrome
• Hematopoietic Cell Transplantation for Primary Amyloidosis
• Hematopoietic Cell Transplantation for Solid Tumors of Childhood
• Hematopoietic Cell Transplantation in the Treatment of Germ-Cell Tumors
• Hematopoietic Stem-Cell Transplantation for Waldenstrom Macroglobulinemia
• Hip Resurfacing
• Immune Modulating Drugs
• Immunomodulators for Skin Conditions
• Intraoperative Neurophysiologic Monitoring (Sensory-Evoked Potentials, Motor-Evoked Potentials, EEG Monitoring)
• Intravenous Anesthetics for the Treatment of Chronic Pain and Depression
• Intravenous Immunoglobulin
• Medical Policies
• Medical Policy Group Schedule
• Medical Policy Updates
• Medical Technology Assessment NonCovered Services
• Noncovered Drug List
• Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
• Plastic Surgery
• Preauthorization Request Form for Diagnosis and Treatment of Sacroiliac Joint Pain for MP 320
• Preauthorization Request Form for Gene Therapy for Inherited Retinal Dystrophy
• Prior Authorization Request Form for Artificial Intervertebral Disc Cervical Spine MP 585
• Prior Authorization Request Form for CAR T-Cell Therapy Services for B-cell Acute Lymphoblastic Leukemia (tisagenlecleucel) MP 455
• Prior Authorization Request Form for CAR T-Cell Therapy Services for Treatment of Diffuse Large B-cell Lymphoma
• Prior Authorization Request Form for Myoelectric Prosthetic and Components for the Upper Limb MP 227
• Prior Authorization Request Form for Surgical and Transesophageal Endoscopic Procedures to Treat Gastroesophageal Reflux Disease
• Prior Authorization Request Form for Therapeutic Radiopharmaceuticals in Oncology Lutetium 177
• Prostatic Urethral Lift
• Proton Pump Inhibitors
• Quality Care Dosing Guidelines Drug List
• Therapeutic Radiopharmaceuticals in Oncology
• Wireless Capsule Endoscopy as a Diagnostic Technique in Disorders of the Small Bowel, Esophagus, and Colon

Click here to view the Blue Cross Blue Shield Massachusetts Medical Policy Updates »

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