Blue Cross Blue Shield Massachusetts December 2017 Medical Policy Updates

Blue Cross Blue Shield Massachusetts Medical Policy Updates
Blue Cross Blue Shield Massachusetts Medical Policy Updates

December 2017 Medical Policy Updates:

NEW MEDICAL POLICIES:
  • None

REVISED MEDICAL POLICIES:

  • Bone Morphogenetic Protein
  • Molecular Analysis for Targeted Therapy of Non-Small-Cell Lung Cancer
  • Vagus Nerve Stimulation

CLARIFICATIONS TO MEDICAL POLICIES:

  • Allogeneic Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias
  • Medical Technology Assessment Investigational (Non-Covered) Services List
  • Outpatient Psychotherapy
  • Patient-Specific Cutting Guides for Knee Arthroplasty
  • Stereotactic Radiosurgery and Stereotactic Body Radiotherapy
  • Use of Common Genetic Variants (Single Nucleotide Variants) to Predict Risk of Nonfamilial Breast Cancer

RETIRED MEDICAL POLICIES:

  • Thoracic-LumboSacral Orthosis with Pneumatics

REVISED PHARMACY MEDICAL POLICIES:

  • Benign Prostatic Hyperplasia – BPH
  • Bisphosphonate, Oral
  • Diabetes Step Therapy
  • Dificid® (fidaxomicin)
  • Dopamine Agonists, non-ergot derived
  • Follitropin Step Therapy
  • Immune Modulating Drugs
  • Ophthalmic Prostaglandins
  • Overactive Bladder Medications
  • Phosphodiesterase Type-5 Inhibitors for Pulmonary Arterial Hypertension
  • Topical Testosterone

 

Click here to view the Blue Cross Blue Shield Massachusetts 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.

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