BCBS Massachusetts Medical Policy Updates – July 2021

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

July 2021 BCBS Massachusetts Medical Policy Updates:

• AIM Genetic Testing Management Program CPT and HCPCS Codes
• Amniotic Membrane and Amniotic Fluid
• Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening
• Antihyperlipidemics
• Antisense Oligonucleotide Medications
• Bioengineered Skin and Soft Tissue Substitutes
• Botulinum Toxin Injections SP
• CAR T-Cell Therapy Services for Follicular Lymphoma (Axicabtagene Ciloleucel) Prior Authorization Request Form #944
• CAR T-Cell Therapy Services for Non-Hodgkin Lymphoma (Lisocabtagene Maraleucel) Prior Authorization Request Form #941
• Cardiac Rehabilitation in the Outpatient Setting
• Chimeric Antigen Receptor Therapy for Leukemia and Lymphoma
• Directory of Documents
• Immune Modulating Drugs
• Implantable Bone-Conduction and Bone-Anchored Hearing Aids
• Inhaled Nitric Oxide as a Treatment of Hypoxic Respiratory Failure in Neonates
• Injectable Specialty Medication Coverage
• Intraoperative Neurophysiologic Monitoring y-Evoked Potentials -Evoked Potentials monitoring
• Lipid Apheresis
• Med UM Policy
• Medical Benefit Prior Authorization Medication List
• Medical Policy Updates
• Medical Technology Assessment NonCovered Services
• Medicare Advantage Management
• Medicare Advantage Part B Step Therapy
• Nononcologic Uses of Rituximab
• Oncology Drugs
• Opioid Medication Management
• Outpatient Prior Authorization Code List
• Pregabalin and Lyrica CR
• Prior Authorization Request Form for CAR T-Cell Therapy Services for Treatment of Diffuse Large B-cell Lymphoma
• Quality Care Dosing Guidelines
• Sublingual Immunotherapy with Allergen-specific Extracts – SLIT
• Temporomandibular Joint Disorder
• Ultrafiltration in Decompensated Heart Failure
• Wireless Capsule Endoscopy as a Diagnostic Technique in Disorders of the Small Bowel

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.