The information outlines updates to policies that are effective this month. To view the updated policy in its entirety, select the policy name.
|Policy Name||Affected Physicians||Updates||Effective Date|
|Repository Corticotropin (Acthar® Gel)||
This will continue to require precertification for outpatient procedures. Claims submitted without precertification will be denied.
The appearance of an item or procedure in this update indicates only that we have recently adopted or revised a policy. It does not imply that we provide coverage for the items or procedures listed. In the event of an inconsistency or conflict between the information provided below and the posted policy, the provisions of the posted policy will prevail.