About the News Recap
We send this Recap each month to summarize news published on Provider Central. You can click the article headline to view it on Provider Central, the red icon to download a PDF, or the envelope to forward via email.
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Claims, Coding, Payment
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As you know, many provisions of the Consolidated Appropriations Act (CAA) of 2021 and the Transparency in Coverage Final Rule began impacting our members starting Jan. 1, 2022. As providers caring for our members, some of these provisions may impact you as well.
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Clinical & Pharmacy
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Lists of new, revised, and clarified medical policies and pharmacy medical policies effective in April 2022 are now available.
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As of January 15, 2022, we will cover up to eight self-administered at-home tests per commercial member per month for personal, diagnostic use, without cost and without any need for prior clinical assessment.
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On January 24, 2022 the Food and Drug Administration (FDA) revoked emergency use authorization (EUA) for two monoclonal antibody treatments—bamlanivimab and etesevimab (administered together) and REGEN-COV (casirivimab and imdevimab) because they are not effective against circulating COVID variants.
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Office Support
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Blue Cross Blue Shield of Massachusetts announced that Andrew Dreyfus will step down as president and chief executive officer at the end of 2022. The company's Board of Directors will begin a national search for Dreyfus' successor.
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Plans & Products
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Effective April 1, 2022, more than 200,000 Medicare-eligible City of New York retirees will move to the NYC Medicare Advantage Plus plan. The effective date for this transition was originally communicated as January 1, 2022.
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In 2022, employers can choose to offer their employees $0 cost share for a set number of outpatient visits (including telehealth) for select services.
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News Alerts
Our secure website also includes News Alerts specific to your type and specialty. Below we listed all the News Alerts published this month. These may or may not apply to your provider type. To read News Alerts specific to your provider type and specialty, log on to bluecrossma.com/provider and click on News. Look for the red exclamation point icon.
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Date published
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News Alert |
| January 10 |
We'll make price and cost-sharing information public on July 1, 2022 |
| January 19 |
Revised information about upcoming change to wheelchair medical policy |
| January 19 |
Important information about your 2022 fee schedule updates (Optometrists) |
| January 19 |
Important information about your 2022 fee schedule updates (Ambulatory surgi-centers) |
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Blue Cross Blue Shield of Massachusetts refers to Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation.® Registered Marks of the Blue Cross and Blue Shield Association.®″Registered mark is the property of its respective owner.© 2022 Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.
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