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12/31/2021
Aduhelm™ (aducanumab-avwa) injection for Medicare Advantage Members (Updated January 1, 2022)
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The purpose of this communication is to provide notification of ​the Company's position for Aduhelm™ (aducanumab-avwa) injection​ for all Medicare Advantage products effective June 7, 2021.
Aduhelm™ (aducanumab-avwa) injection for Medicare Advantage Members (Updated January 1, 2022)27115fc7-1143-4662-9686-b4d5db0f6acf
12/31/2021
Telehealth Services for Medicare Advantage Members
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The purpose of this document is to provide advance notice regarding coverage for telehealth services for our Medicare Advantage members in response to Coronavirus Disease 2019 (COVID-19).

Telehealth Services for Medicare Advantage Membersf4aa34e8-11ba-4eee-81de-bf2f7e35e721
12/31/2021
Coverage of COVID-19 Vaccination for Medicare Advantage Members (Updated Effective January 1, 2022)
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The purpose of this communication is to provide notice regarding information ​and procedure codes related to the coverage of SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) vaccines and administration of the vaccines for Medicare Advantage members.


Coverage of COVID-19 Vaccination for Medicare Advantage Members (Updated Effective January 1, 2022)0d0a6e58-b4c2-42b0-9a3a-8f0803300fb5
12/31/2021
01/01/2022 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products (Updated January 7, 2022)
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The intent of this document is to communicate Medicare Advantage Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 01/01/2022, unless otherwise noted.
01/01/2022 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products (Updated January 7, 2022)caa20a02-9c8b-4daf-981c-1acac3da57b1
12/7/2021
Changes for COVID-19 Vaccination and Pharmaceutical Treatments for Medicare Advantage Members to Become Effective January 1, 2022
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The purpose of this communication is to provide advance notification of changes for COVID-19 vaccination and pharmaceutical treatment of COVID-19 scheduled to become effective on January 1, 2022 for Medicare Advantage members. ​
Changes for COVID-19 Vaccination and Pharmaceutical Treatments for Medicare Advantage Members to Become Effective January 1, 2022645e03c4-2c9d-4325-99f0-afa969c0f8cb
12/1/2021
Expiration of Coverage for Consumer Grade Pulse Oximeters Effective January 1, 2022 for Medicare Advantage Members
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The purpose of this communication is to provide advance notification of our position on consumer grade pulse oximetry devices for use in the home setting, which will expire January 1, 2022 for Medicare Advantage members. 
Expiration of Coverage for Consumer Grade Pulse Oximeters Effective January 1, 2022 for Medicare Advantage Members4d46df99-8838-49e5-8bee-803a0bd036ae
10/1/2021
10/1/2021 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products
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The intent of this article is to communicate Medicare Advantage Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 10/1/2021, unless otherwise noted.

For more information related to these services, please refer to specific policies when applicable.​​​​​​

10/1/2021 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Productsda4807d7-c8e8-4da3-adb7-5a156ce37fc4
6/15/2021
Notification of Upcoming Changes to Pharmacologic Nuclear Stress Testing in response to COVID-19
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The purpose of this NewsFlash is to provide advance notice that medical necessity reviews will resume for new prior authorization requests on or after July 15, 2021 regarding the use of pharmacologic stress testing with nuclear imaging in lieu of exercise stress testing​. 
Notification of Upcoming Changes to Pharmacologic Nuclear Stress Testing in response to COVID-19872f2479-2690-4518-b8b8-e911e5749812
6/4/2021
Notification of Upcoming Changes to Temporary COVID-19 Waivers of Certain Requirements Related to Respiratory Equipment and Related Supplies
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The purpose of this communication is to provide advance notice regarding the reinstatement of certain pre-PHE requirements/limits related to respiratory equipment/related supplies.
Notification of Upcoming Changes to Temporary COVID-19 Waivers of Certain Requirements Related to Respiratory Equipment and Related Suppliesf0cd547c-047a-4d87-9d85-8a03d1d77946
4/20/2021
Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for Independence Medicare Advantage Members (Updated December 15, 2021)
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The purpose of this communication is to provide advance notice regarding information and procedure codes related to testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for Independence Medicare Advantage members.
 
This communication addressing Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) shall remain in effect through the end of the Public Health Emergency.

Note: Information related to SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) is continuously evolving. The Company is closely monitoring the outbreak caused by the novel coronavirus, and will update our communications accordingly. ​

  • This document replaces the version published on March 19, 2021.

  • Language in the section for SPECIMENS COLLECTED BY A MEMBER was revised for clarity.​

Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for Independence Medicare Advantage Members (Updated December 15, 2021)e987eedb-269d-43a9-85a5-218cbcc57730
4/1/2021
4/1/2021 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products
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The intent of this article is to communicate Medicare Advantage Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 4/1/2021, unless otherwise noted.
4/1/2021 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Productsd2c73a29-4d27-43bb-be4a-15bcdcf54a84
1/4/2021
1/1/2021 CPT & HCPCS Annual Code Update Coverage Determinations for Medicare Advantage Products
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The intent of this document is to communicate Medicare Advantage Product coverage determinations for services identified through the Annual Code Update process. 


1/1/2021 CPT & HCPCS Annual Code Update Coverage Determinations for Medicare Advantage Products83b993ed-7be0-47bc-983e-86d958abfdc6
12/31/2020
​Medicare Diabetes Prevention Program in Response to COVID-19 Outbreak (Updated December 15, 2021)
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The purpose of this NewsFLASH is to provide advance notice regarding coverage for Medicare diabetes prevention program in response to Coronavirus Disease 2019 (COVID-19).

This communication addressing diabetes prevention program in response to COVID-19 outbreak shall remain in effect through the end of the Public Health Emergency.

This policy communication addressing telehealth services for Medicare Advantage members has been updated  January 1, 2021 to remove the requirement of a documented 5% weight loss.
Medicare Diabetes Prevention Program in Response to COVID-19 Outbreak (Updated December 15, 2021)668d5e4b-58c4-42b2-bd67-219a209219e7
10/22/2020
Pharmaceutical Prophylaxis and Treatments of COVID-19 for Independence Medicare Advantage Members (Updated January 11, 2022)
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The purpose of this document is to communicate the Company's coverage position for Pharmaceutical Treatment of COVID-19 for Independence Medicare Advantage members. 


Pharmaceutical Prophylaxis and Treatments of COVID-19 for Independence Medicare Advantage Members (Updated January 11, 2022)3ab657a3-3c1a-421f-85f4-08d4f2fab931
10/1/2020
10/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products
0.1
The intent of this article is to communicate Medicare Advantage Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 10/1/2020, unless otherwise noted. 

For more information related to these services, please refer to specific policies when applicable.​



10/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Productseaaa732d-9e1b-4325-a3d9-2891b122930a
7/1/2020
7/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products
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7/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage ProductsBC325E22B96FD1D585258598006632FB
6/30/2020
​Waiver of certain requirements during COVID-19 outbreak related to Durable Medical Equipment (DME), prosthetics, orthotics, and supplies for Medicare Advantage members (Updated December 15, 2021)
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The purpose of this News Article is to provide advance notice regarding the temporary waiver of certain requirements for Durable Medical Equipment (DME), as well as prosthetics, orthotics, and supplies in response to Coronavirus Disease 2019 (COVID-19).
Waiver of certain requirements during COVID-19 outbreak related to Durable Medical Equipment (DME), prosthetics, orthotics, and supplies for Medicare Advantage members (Updated December 15, 2021)731A7A410AA02BF08525858B0060F43F
5/12/2020
Pharmacologic Nuclear Stress Testing in Response to COVID-19 for Medicare Advantage Members (Updated June 15, 2021)
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The purpose of this News Article is to provide advance notice regarding the use of pharmacologic stress testing with nuclear imaging in response to the Public Health Emergency (PHE) for the COVID-19 pandemic.
Pharmacologic Nuclear Stress Testing in Response to COVID-19 for Medicare Advantage Members (Updated June15, 2021)6061365DEA093EF78525856500743BFA
4/29/2020
Direct Supervision Requirements for Incident to Services Performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in Response to COVID-19 (Updated December 15, 2021)
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The purpose of this News Article is to provide advance notice regarding direct supervision requirements for Incident to services performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in response to Coronavirus Disease 2019 (COVID-19).
Direct Supervision Requirements for Incident to Services Performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in Response to COVID-194FDDC2AFA5B549C885258558007D7B93
4/14/2020
Ground Ambulance Transport Services (Emergency and Nonemergency) for Medicare Advantage Members (Updated December 15, 2021)
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The purpose of this communication is to provide advance notice regarding the temporary expansion of the list of allowable destinations for ground ambulance transports AND to convey coverage criteria for medically necessary ground ambulance services without a transport in response to the Public Health Emergency (PHE) for the COVID-19 pandemic. 

Ground Ambulance Transport Services (Emergency and Nonemergency) for Medicare Advantage Members (Updated December 15, 2021)f43a2ed7-486a-48bf-bb49-fa849eb03cfb
4/1/2020
4/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products (revised 05/04/2020)
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The intent of this news article is to communicate Medicare Advantage Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 4/1/2020.
4/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products (revised 05/04/2020)EDA9E7863A7A63E88525855E004ADE17
12/27/2019
1/1/2020 CPT & HCPCS Annual Code Update Coverage Determinations for Medicare Advantage Products
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The intent of this article is to communicate Medicare Advantage Product coverage determinations for services identified through the Annual Code Update process. The procedure codes that represent these services will become effective on 1/1/2020.
1/1/2020 CPT & HCPCS Annual Code Update Coverage Determinations for Medicare Advantage ProductsC8F40B977C70A150852584DD004C3F4E
10/1/2019
10/1/2019 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products
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The intent of this article is to communicate Medicare Advantage Product coverage positions for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 10/1/2019.
10/1/2019 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products8CD3C91BE7B054FF85258486004B5749
9/12/2019
​Coverage of Interprofessional Internet Consultation
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The purpose of this communication is to provide notice regarding a change in coverage position from not covered to covered for interprofessional internet consultation, retroactively effective to January 1, 2019, for our Medicare Advantage members.
Coverage of Interprofessional Internet Consultation172BF5121B6AC21085258473004D0B45
8/8/2019
Clinical Appropriateness Guidelines for Radiology to be updated for Medicare Advantage Members
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The purpose of this news article is to provide advance notice regarding upcoming AIM Clinical Appropriateness Guidelines for Radiology for Independence Medicare Advantage Members.
Clinical Appropriateness Guidelines for Radiology to be updated for Medicare Advantage MembersE33539CCEF30B304852584500071C202
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