Transcription of DECEMBER 2021
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90-day notices and important reminders We regularly adjust our clinical, payment and coding policy positions as part of our ongoing policy review processes. Our standard payment policies identify services that may be incidental to other services and, therefore, ineligible for payment. We re required to notify you of any change that could affect you either financially or administratively at least 90 days before the effective date of the change. This change may not be considered a material change in all states. Unless otherwise stated, policy changes apply to both Commercial and Medicare lines of business. Office consultation codes payment update CORRECTION: In September, this article appeared on with an incorrect start date of DECEMBER 1, 2021.
Clinical payment and coding policy changes. Changes to commercial drug lists begin on April 1 . On April 1, 2022, we’ll update our pharmacy drug lists. Changes may affect all drug lists, precertification, and step therapy and quantity-limit programs. You’ll be able to view the changes as early as February 1. They’ll be available on our ...
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