Click here to view the Humana Medical Policy Updates Updates » September 2024 Humana Medical…
Blue Cross Blue Shield Massachusetts October 2017 Medical Policy Updates
Click here to view the Blue Cross Blue Shield Massachusetts October 2017 Medical Policy Updates »
Table of Contents
NEW MEDICAL POLICIES:
None
Table of Contents
REVISED MEDICAL POLICIES:
Adoptive Immunotherapy – KYMRIAH™ (tisagenlecleucel)
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems
Flow Cytometry for Cell Analysis
Genetic Testing for Developmental Delay/Intellectual Disability, Autism Spectrum Disorder, and Congenital
Anomalies
Magnetic Resonance Imaging‒Targeted Biopsy of the Prostate
Oncologic Applications of Photodynamic Therapy, Including Barrett Esophagus
Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation
Radiofrequency Ablation of Primary or Metastatic Liver Tumors
Table of Contents
CLARIFICATIONS TO MEDICAL POLICIES:
Back School
Biofeedback for Miscellaneous Indications
Chromosomal Microarray Testing for the Evaluation of Pregnancy Loss
Lung and Lobar Lung Transplant
Phototherapy: PUVA and UV-B
Total Artificial Hearts and Implantable Ventricular Assist Devices
Table of Contents
RETIRED MEDICAL POLICIES:
First-Trimester Detection of Down Syndrome Using Fetal Ultrasound Markers Combined with Maternal Serum
Assessment
Light Therapy for Vitiligo
Speculoscopy
Table of Contents
REVISED PHARMACY MEDICAL POLICIES
Asthma and Chronic Obstructive Pulmonary Disease Medication Management
Diabetes Step Therapy
Pharmacy Medical Policy CNS Stimulants and Psychotherapeutic Agents
Topical Testosterone
Table of Contents
RETIRED PHARMACY MEDICAL POLICIES
Glucagon-like Peptide-1 – GLP-1 – Receptor Agonists
Click here to view the Blue Cross Blue Shield Massachusetts October 2017 Medical Policy Updates »
Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.
Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on Payer decisions in real-time. Whenever changes occur, email notifications containing a summary of those changes are delivered to your inbox. Clients can access detailed coverage reports and medical policies on the interactive Dashboard portal. Save time and keep focused on the important Payer medical policy reviews and coverage decisions affecting your product!
Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.
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. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.