Click here to view the Humana Medical Policy Updates Updates » September 2024 Humana Medical…
Cigna December 2017 Medical Policy & Pharmacy Updates
Click here to view the Cigna Medical Policy Updates »
Policy Updates December 2017
Medical Coverage Policy
- Vitamin D Testing – (0526)
- Autism Spectrum Disorders/Pervasive Developmental Disorders: Assessment and Treatment – (0447)
- Continuous Passive Motion (CPM) Devices – (0198)
- Intensive Behavioral Interventions – (0499)
- Oxygen for Home Use – (0207)
- Treatment of Gender Dysphoria – (0266)
- Physical Therapy – (0096)
- Occupation Therapy – (0232)
Pharmacy (Drugs & Biologics) Policies
- Dose Optimization – (1804)
- Immunomodulators – (1805)
- Eltrombopag – (9003)
- Erythropoiesis Stimulating Agents (ESA) – (5016)
- Hepatitis C Therapy – (1316)
- Antiemetic Therapy – (1705)
- Apremilast – (1414)
- Controlled Substance Analgesic and Narcotic Antagonist Quantity Limitations – (1706)
- Drugs / Biologics Not Covered Unless Approved Under Medical Necessity Review – Employer Group Plans: Standard Prescription Drug List and Performance Prescription Drug List – (1601)
- Drugs / Biologics Not Covered Unless Approved Under Medical Necessity Review – Employer Group Plans: Value Prescription Drug List and Advantage Prescription Drug List – (1602)
- Modafinil/Armodafinil – (1501)
- o Multiple Sclerosis Therapy – (1402)
- Oncology Medications – (1403)
- Opioid Therapy – (1704)
- Pharmacy Prior Authorization – (1407)
- Quantity Limitations – (1201)
- Step Therapy – (1109)
- Step Therapy Individual and Family Plans – (1603)
- Testosterone Therapy – (1503)
Click here to view the Cigna 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.
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