Provider
P59-16 Organization Determination Additions for Platinum Blue - Effective January 23, 2017
Program effective Date: Dec 08, 2016
Documents & Forms Results
Displaying 2901 - 2910 of 3563 results
Provider
P51-16 Addition of a Drug (Belviq XR) to the Weight Loss Agents Prior Authorization with Quantity Limit Program
Program effective Date: Oct 28, 2016
Provider
P19R2-18 Update: New Remittance Code OA-45/N801 for Purchased/Referred Care (PRC) - Eligible Subscribers
Program effective Date: May 01, 2018
Provider
P26-17 New Drug-Related Prior Authorization (PA) Criteria: Urea Cycle Disorders
Program effective Date: May 25, 2017
Provider
P54-16 Added Reimbursement Policies
Program effective Date: Nov 14, 2016
Provider
P18-17 New Drug-Related Prior Authorization Requirements for Nusinersen (Spinraza)
Program effective Date: May 02, 2017
Provider
P62-17 Addition of Drug to the Parathyroid Hormone Analog for Osteoporosis Prior Authorization with Quantity Limit Program
Program effective Date: Nov 06, 2017
Provider
P22-18 2018 Renewal Changes Summary For Suppliers Of Durable Medical Equipment (DME)
Program effective Date: May 01, 2018
Provider
P79-17 Clarification to MHCP PA Requirements for Pelvic Floor Stimulator
Program effective Date: Dec 12, 2017
Provider
P83-17 Clarification to MHCP Prior Authorization Requirements for Nusinersen (Spinraza)
Program effective Date: Dec 13, 2017