Loading...Loading...In addition to the summary of monthly changes below, please also review our monthly Bulletin for recent and upcoming changes to our medical and reimbursement policies, Clinical Position Statements and associated changes to pre-authorization requirements. The Medical Policy Manual includes a list of recent updates and archived policies. Monthly change summaries are added to our website within 10 business days of our newsletter publication.
Review other monthly changes for 2022.
The following sections of our Administrative Manual were updated effective February 1, 2022:
- Facility Guidelines
- Medical Management
Laboratory Services
Our HEDIS medical record reviews for measurement year 2021 will begin this month, continuing through May 2022. We have contracted with Inovalon to contact providers and collect data using a HIPAA-compliant process. Learn more about this year’s review.
We publish updates to medical policies in our monthly publication, The Bulletin. You can read issues of The Bulletin or subscribe to receive an email notification when issues are published.
We provided 90 day notice in the November 2021 issue of The Bulletin about the following medical policies, which are effective February 1, 2022:
- Dental and Orthodontic Treatment for Craniofacial Anomalies (Allied Health #33)
Neurofeedback (Medicine #65)
We publish updates to reimbursement policies in our monthly publication, The Bulletin. You can read issues of The Bulletin or subscribe to receive an email notification when issues are published.
We provided 90 day notice in the November 2021 issue of The Bulletin about the following reimbursement policies, which are effective February 1, 2022:
- Dialysis Services for ESRD (Administrative #141)
- Modifier 22; Increased Procedural Services (Modifiers #111)