Harvard Pilgrim Health Care Medical Policy Updates – December 2022

Click here to view the Harvard Pilgrim Medical Policy Updates » 

December 2022 Harvard Pilgrim Health Care Medical Policy Updates: 

• Anesthesia
• Antidepressants
• Antipsychotics Step Therapy Programs
• Antiseizure Medications
• Billing Requirements for Outpatient Revenue Codes
• Chelating and Reducing Agents: Clovique, penicillamine tablets, tiotropin, trientine
• Clinical Guidelines
• Guidelines/Policies & Manuals
• Hematinic Agents: Aranesp® (darbepoetin afla), Epogen® (epoetin alfa), Procrit® (epoetin alfa), Retacrit® (epoetin alfa-epbx), Mircera® (methoxy peg-epoetin beta)
• Home Health Care
• Implantable Neurostimulators
• Infertility Services Authorization
• Inpatient Acute Level of Care
• Inpatient Rehabilitation/Long-Term Acute Care
• Massachusetts Standard Form for Chemotherapy and Supportive Care Prior Authorization Requests
• Massachusetts Standard Form for Hepatitis C Medication Prior Authorization Requests
• Massachusetts Standard Form for Medication Prior Authorization Requests
• Massachusetts Standard Form for Synagis® Prior Authorization Requests
• New Hampshire Uniform Prior Authorizations Form
• Non-Formulary Exceptions
• Non-Participating Provider Authorization
• Nuedexta (dextromethorphan /quinidine)
• Obstetrical/Maternity Care
• Opioid Analgesics
• Orthotic and Prosthetic Devices
• Physical, Occupational, and Speech Therapy
• Procedures for the Treatment of Symptomatic Varicose Veins
• Quantity Limit Exceptions
• RI Opioid Prescribing Limits
• Sedative Hypnotics Step Therapy
• Services Incidental to Admission
• Silenor (doxepin tablets) Step Therapy
• Site of Service
• Skilled Nursing Facility and Subacute Care
• Tendon Sheath, Ligament Cyst, Carpal Tunnel and Tarsal Tunnel Injections
• Treatment Room
• Trigger Point Injections
• Triptan Migraine Medications Step Therapy Program
• Umbilical Cord Blood
• Unlisted and Unspecified Procedure Codes
• Urodynamic Studies
• Viral Hepatitis Serology Testing
• Wakefulness Agents
• Wearable Cardioverter Defibrillator

Click here to view the Harvard Pilgrim Medical Policy Updates » 

Harvard Pilgrim Health Care

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