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Monthly overview

View recent updates on policy and protocol announcements, drug and pharmacy, prior authorization, code changes, provider reimbursement, medical policy alerts and more.

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What's new in Network News

Nokia employees now have Surest plans

Learn how to recognize and support Surest plan members, including Nokia employees who are now covered by the plans.

Prior authorization updates for provider-administered drugs

Effective for dates of service starting May 1, 2023, we will require prior authorization for the certain medications.

New therapies for Cancer Therapy Pathway program

Chronic myeloid leukemia, prostate, esophageal and gastric added to Cancer Therapy Pathways Program

Reimbursement Policy Update Bulletins: February 2023

You can review the details on February's reimbursement policy updates through the commercial, Medicare, Medicaid and Exchange plan bulletins.

Optum to manage kidney care management services

Effective Jan. 1, 2023, we’ve transferred kidney care management services from Somatus to Optum KRS.

Medicare: Part B Step Therapy program updates

Starting Feb. 1, 2023, Feraheme will move to a preferred status for some plans.

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