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Patient Assistance Programs

• PAN Foundation
• The Blood Cancer Foundation of Michigan
• Patient Advocate Foundation

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WPS Recent Oncology Related News

• Hospital & Practitioner PTP Edits
2026 Physician Fee Schedules Published!
Final Rule & Fact Sheets
• Telehealth FAQ
• And More

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WPS Educational Offerings

New Education Tracks - Check Them Out!

• Live Trainings
• Encore Presentations
• YouTube Videos

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CMS-Medicare

Recent Oncology Related Articles

• Model Test Would Lower Drug Costs
• Comment on Medicare Enrollment Application
• CY 2026 Bonus Payments
• And More

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Quality Payment Program (QPP)

• 2025 QPP Data Submission Now Open
• 2026 Quality Measures Specifications are Available
• 2026 MIPS Payment Adjustments
• New Resources for 2026 Improvement Activities

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Medically Unlikely Edit (MUE)

Effective January 1, 2026

• DME Supplier Services
• Facility Outpatient Hospital Services
• Practitioner Services

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Recent RAC Monitor Article

This edition includes articles on

• Prior Authorization Crackdown
• MOON, PEPPER & Payment Reductions
• AI The New Reality of Documentation

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BCBSM/BCN

Recent Oncology Related News

• Change to copay & coinsurance for oral chemotherapy
• GM prescription benefits handled by Capital Rx
• Self-funded commercial groups will move to Exclusive Specialty Network

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BCBSM/BCN

Publications - Important Articles to Note!

• The Record
• BCN Provider News

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Payer Issue Tracking Page

Report Payer Issues to MSHO

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Aetna

• January OfficeLink Updates
• Changes to Commercial Drug List
• Changes to National Precertification List

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Health Alliance Plan

• Reminder New Online Prior Authorization Platform
• HAP CareSource
• Monthly Reminders
• And More

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Medicaid

• MMP Bulletins 
• Biller Be Aware
• CPT Coding Update

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Molina

Recent Oncology Related News

• January Provider Bulletin
• Preferred Drug List
• Billing & Reimbursement Policies
• And More

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Priority Health Update

• 2026 Fee Schedules
• Change in Submitting Home Health Care Service (HHCS) Codes
• 2026 Final PIP Manual Now Available
• Commercial Coverage Changes for Revlimid®
• And More

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United Healthcare

• Medical & Reimbursement Policy Updates 2026
• Q1 2026 Preferred Drug List Updates
• Specialty Drugs & Benefit Updates 

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Recent Oncology Related FDA Approvals and Expanded Indications

Agios' AQVESME™ (mitapivat)
Johnson & Johnson RYBREVANT FASPRO™ (amivantamab and hyaluronidase-lpuj)
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ASK MSHO

January 2026 Frequently Asked Questions

• Supervising Physicians During Infusion
• When to use the JW Modifier for Waste
• Modifier 91 for Testing
• White Bagging vs Brown Bagging

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