02/17/2021

Managed Care Committee Reimbursement TIDBITS

Featuring this month: Cigna

TidBits thanks to

TRUDY HALLAHAN

MSHO Managed Care Committee

Did you know.... Beginning March 15, 2021, Cigna will expand their prior authorization requirements for certain oncology drugs to include a medical necessity review for the site of care.  You can read the total article in First Quarter 2021 newsletter.

Did you know.... Accredo, Cigna specialty pharmacy is making the Prior authorizations easier.  Again, You can read the total article in First Quarter 2021 newsletter.

Did you know.... Cigna updated their Precertification list effective 1/1/2021.  J codes are listed, 3/4 into the list. Again, You can read the total article in First Quarter 2021 newsletter. Also, you should sign up to receive their quarterly Cigna Network News for Providers.

NOTE: A different Michigan Payer will be featured monthly.

 Visit the MSHO Website for a listing of the Michigan Health Plans and the MSHO Managed Care Committee.

CLICK HERE