12/04/2018

Managed Care Committee Reimbursement TIDBITS

Featuring this month: UnitedHealthcare Community Plan

TidBits thanks to 

MSHO Managed Care Committee Member

SHELBY JENSEN 

Did you know... Here is the link to the Medical Benefit Drug policy spelling out the correct diagnosis codes to use when billing for IVIG treatment. It was updated on 11/01/2018.  CLICK HERE

Did you know... Eff: 01/01/2019 the following drug will fall under the Specialty Medication – Site of Care:

• Ilumya (tildrakizumab-asmn) – indicated for tx of adults with moderate-to-severe plaque psoriasis

Did you know... Same as UHC Commercial, UHC Community Plan also is requiring prior auth requests for outpatient injectable chemotherapy and related cancer therapies, to go through Optum Eff: 11/01/2018.

Visit their website at https://www.uhccommunityplan.com.

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