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Provider Central

OCTOBER 2022

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.

Claims, Coding, Payment

Update for electrical stimulation of the spine

We’re updating medical policy 498 to clarify which diagnoses we cover for electrical stimulation of the spine.

Clinical & Pharmacy

January 2023 Medical and Pharmacy Policy updates now available

Lists of new, revised, and clarified medical policies and pharmacy medical policies effective in January 2023 are now available.

Synagis benefits and coverage for 2022-2023 season

We offer medical or pharmacy benefit coverage options to our members who require respiratory syncytial virus (RSV) immunoprophylaxis and who meet requirements outlined in pharmacy medical policy 422, RSV Immunoprophylaxis.

Office Support

We’ve clarified our covering provider arrangement requirements

We’ve updated our documentation requirements regarding covering arrangements for all clinicians except primary care providers.

We may contact you to complete a brief survey

We’re currently reaching out to practices to conduct our Annual Appointment Wait Time Survey.

Quality & Efficiency

Fall update to member cost tool data

We’re conducting our biannual update of our member cost estimation tools.

We’re sending colorectal cancer screening kits to Medicare Advantage members

We’re partnering with Quest Diagnostics™ to deliver in-home colorectal cancer screening kits to your Medicare Advantage patients.

News Alerts

Our secure website also includes News Alerts specific to your type and specialty. Below we listed all 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 News. Look for the red exclamation point.

Date published	News Alert
October 14	We’re updating your home health care fee schedule
October 14	We’re updating your hospice fee schedule
October 28	We're updating your ABA fee schedule

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