BCBS Massachusetts Medical Policy Updates – December 2023

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

December 2023 BCBS Massachusetts Medical Policy Updates:

• Antihyperlipidemics
• Applied Behavior Analysis Service Request Form
• Aqueous Shunts and Stents for Glaucoma
• Asthma and Chronic Obstructive Pulmonary Disease Medication Management
• Autonomic Nervous System Testing
• Botulinum Toxin Injections SP
• CNS Stimulants and Psychotherapeutic Agents
• Cryosurgical Ablation of Primary or Metastatic Liver Tumors
• Diabetes Step Therapy
• Directory of Documents
• Drug Management & Retail Pharmacy Prior Authorization Policy
• Dynamic Spinal Visualization and Vertebral Motion Analysis
• E Form medication prior auth instruction
• Endobronchial Ultrasound for Diagnosis and Staging of Lung Cancer
• Erythropoietin Recombinant Human
• Focal Treatments for Prostate Cancer
• Growth Hormone and Insulin-like Growth Factor
• https://www.bluecrossma.org/medical-policies/sites/g/files/csphws2091/files/acquiadam-assets/upload-group-category-test-asset.png
• Hyperbaric Oxygen Therapy
• Immunoglobulins Policy
• Immunomodulators for Skin Conditions
• Injectable Asthma Medications
• Injectable Specialty Medication Coverage
• Intraoperative Neurophysiologic Monitoring y-Evoked Potentials -Evoked Potentials onitoring
• Medical Benefit Prior Authorization Medication List
• Medical Policy Updates
• Medicare Advantage Management
• Medications for Sickle Cell and Beta Thalassemia
• Mineral Density Studies
• Multiple Sclerosis Step Therapy
• Myocardial Sympathetic Innervation Imaging in Patients with Heart Failure
• Noncovered Drug List
• Oncology Drugs
• Ophthalmic Prostaglandins
• Outpatient Prior Authorization Code List
• Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion Syndrome
• Overactive Bladder Medications
• Pharmacy Hepatitis C Medication Management
• Pharmacy Topical Ocular Hydrating Agents
• Pregabalin  and Lyrica CR
• Proton Pump Inhibitors
• Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
• Radiofrequency Ablation of Peripheral Nerves to Treat Pain
• RSV Immunoprophylaxis
• Scintimammography t-Specific Gamma Imaging olecular Breast Imaging
• Soliris, Ultomiris, Myasthenia Gravis, and Neuromyelitis Optica Policy
• Thermography
• Vascular Endothelial Growth Factor 9 Inhibitors Step Therapy
• Vertebral Fracture Assessment with Densitometry
• Vitamin D Assay Testing
• Whole Body Dual X-Ray Absorptiometry to Determine Body Composition
• Whole Gland Cryoablation of the Prostate

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

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!

Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.