Oct 31, 2019
Effective for dates of service on or after January 1, 2020, CarePartners of Connecticut will no longer require PCPs to issue a referral when a member is seeing an in-network provider or specialist.
Oct 31, 2019
Prior Authorization Requests
Per CMS requirements and effective for dates of service on or after January 1, 2020, the following changes will be implemented to Medicare Part B drug time frames:
Oct 31, 2019
As a routine business practice, claims are subject to payment edits that are updated at regular intervals and generally based on CMS (including the National Correct Coding Initiative [NCCI] edits), specialty society guidelines and drug manufacturers’ package label inserts.