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Jazz Pharmaceuticals
To learn more about Jazz Cares, click here

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MSHO Featured Corporate Sponsor Assistance Programs

• BMS Access Support
• Immunocore's KIMMTRAK CONNECT®
• MyNavCare Patient Support By Genmab 

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WPS Oncology Related LCD Updates

Stay current on new, retired, and revised policies/articles

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WPS Recent Oncology Related News

• JZ Modifier Use for Pharmacies 
• Part B Inflation Rebate Guidance
• New Place of Service Code 27
• Updated Medicare Hot Links
• And More

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CMS-Medicare

Recent Oncology Related Articles

• NCCI Policy Updates 
• National Correct Coding Initiative
• MLN Matters

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Recent RAC Monitor Article

This edition includes articles on

• When Coding Creativity Turns Criminal
• Checking in on Post-Pandemic Medicaid Redeterminations
• How to Defend Against Alleged Overpayment

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BCBSM/BCN

Recent Oncology Related News

• Medical Benefit Drugs
• Additional Drugs to Have Site-of-Care Requirements
• Additional Features for Uploading Medical Records Electronically
• Additional Fee Change Schedules
• And More

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BCBSM/BCN

Publications

• The Record
• BCN Provider News

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Current Payer Issue Tracking Page

Last Reviewed/Updated 12/18/23

• BCBSM Carelon Dismissal Notes
• Medicare Plus Blue Denying J9190
• Optum Denials Preparation & Administration of Drugs

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Aetna

• CCRP Update
• Important Pharmacy Updates
• Timely Notification of Hospital Admissions Payment Policy
• And More

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Health Alliance Plan

• Medical Drugs Buy and Bill Update
• Provider Transition Quick Reference Guide
• 2024 Medicare Advantage Plans & Benefits
• Aspire Health is becoming Carelon Health

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Humana

• Pharmacy Point of Sale Safety Edits
• Vial Size Optimization

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Medicaid

Recent Oncology Related News

Medicaid Updates Include
• Prescription Drug Inflation Rebate Program
• COVID-19 PHE Benefit Changes
• MSA Bulletin Updates
• Biller "B" Aware Notices

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Priority Health Update

• Community Health Worker Services Covered
• Medical Policy Updates
• Expanded Price Transparency
• Final 2024 PIP Manual available online
• And More

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United Healthcare

• Changes to Prior Authorization Requirements
• Caring for Patients with Sickle Cell Disease 
• And More

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Recent Oncology Related FDA Approvals and Expanded Indications

• Astellas Padcev
• Merck Welireg
• Lilly Jaypirca
• Springworks Ogsiveo
• Astellas & Pfizer Xtandi
• AstraZeneca Truqap
• Merck Keytruda
• Bristol Myers Squibb Augtyro
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Drug Updates

Takeda Update on EXKIVITY® (mobocertinib) Withdrawal and Compassionate Use Program

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ASK MSHO

December 2023 Frequently Asked Questions

• Questions from MSHO Key Changes for 2024 webinar
• G2211 Code and the New Care Management Programs
• SDOH ICD-10 Codes

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