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2024
December 2024 - Topic: EPO plan update, 2025 formulary, Medical prior auth update, obesity coverage, updates on PAs, eligibility and claims.
October 2024 - Topic: EPO new market update, In-network referrals, Antiviral drugs for COVID patients
March 2024 - Topic: Medical Specialty/Medical Benefit Drug Prior Authorization process updates
February 2024 - Topics include Medical Specialty/Medical Benefit Drug Prior Authorization process updates, MaxorPlus, New 2024 criteria for Diabetes GLP-1, Update on preventive services, New interactive PA portal and UM phone and fax numbers
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2023
December 2023 - Topics include Medical Specialty/Medical Benefit Drug Prior Authorization process updates, MaxorPlus, National ancillary providers, New 2024 criteria for Diabetes GLP-1, ABA Therapy/Prior authorization update, Reminder about virtual care benefits, Update on preventive services, New interactive PA portal and UM phone and fax numbers, Important year end reminders
October 2023 - Topics include Medical Specialty/Medical Benefit Drug Prior Authorization process updates, New pharmacy benefits manager for 2024, In-network tier 1 labs, New interactive PA prortal and UM phone number
August 2023 - Topics include Medical Specialty/Medical Benefit Drug Prior Authorization process updates, What you need to know for 2023, 2023 provider manual, submitting prior authorization requests, review claims on the ABS portal, claim filing procedures, Tier 2 network change - ILARL only
June 2023 - Topics include Anti-Obesity (Rx) coverage exclusion updates, Vida Health, Improvement changes to the SH pharmacy provider, COVID-19 public health emergency ending, Benefits of care management
