2021 August Bulletins

P46-21 eviCore Healthcare Specialty Utilization Management (UM) Program – Sleep Management Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers

Inpatient Rehabilitation & Skilled Nursing Facility Admissions Prior Authorization Request Form

Long Term Acute Care (LTAC) Facility Admissions Prior Authorization Request Form

BCBSMN-Upcoming-med-policies-effective-10-04-21.pdf

QP59-21 Enforcement of Inpatient Readmissions Reimbursement Policy for Minnesota Health Care Programs Members

Hetlioz (tasimelteon) - Medicaid

Prior Authorization, Quantity Limit

Hetlioz (tasimelteon) - Commercial

Prior Authorization, Quantity Limit

Insomnia Agents - Commercial

Step Therapy, Quantity Limit

Galafold (migalastat) - Medicaid

Prior Authorization, Quantity Limit