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November 2016 Edition Articles


Cost-sharing and billing requirements for Preventive colorectal cancer screening P, F
Coverage for transgender services P, F, A
Encourage exercise to improve brain health P
Encourage pregnant Independence members to enroll in Baby BluePrints® P
Improving lead testing among CHIP members P, F
Keystone 65 Focus: Participating hospitals for 2017 P, F, A
Member benefit changes and clarifications for commercial members P, F, A
Neulasta®: Updates to precertification requirements, sites of service, and coverage options P, F, A
Our Quality Management Program promotes quality of care and service P, F, A
Policy reminder regarding utilization review decisions P, F
Reminder: Provider self-service requirements P, F, A
Reminder: Referral procedures for capitated services P, F
Reminder: $0 copays on preferred diabetic supplies for Medicare Advantage members P, F, A
Required lead time when updating your provider information P, F, A
Standards for medical record documentation: Medical record review P, F, A
View up-to-date policy activity on our Medical Policy Portal P, F, A




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