Exchange plan prior authorization updates

Effective April 1, 2021, prior authorization will be required for certain stereotactic body radiation therapy and stereotactic radiosurgery services for Exchange plan members in Arizona, Maryland, North Carolina, Oklahoma, Tennessee, Virginia and Washington.

See the new applicable codes: Stereotactic body radiation therapy and stereotactic radiosurgery services.

For more information, review Plan Requirements for Advance Notification/Prior Authorization.