Upcoming pharmacy policies effective November 1, 2025

Supply Code List October 1, 2025

DME Code List October 1, 2025

4Q Utilization Management Updates

2026 Small Group Network Adequacy Waiver - High Value Network

2026 Small Group Network Adequacy Waiver - High Value Network

2026 Individual and Family Dental and Vision Decision Guide

QP81-25 Submitting Home Health Concurrent Reviews on Availity Essentials

QP80-25 Reminder: Criteria Used for Utilization Management (UM) Reviews

QP79-25 Update for New-to-Market Medical Drugs: zopapogene imadenovec

QP62R1-25 Eyeglass Billing for Minnesota Health Care Programs Members