Posted in Insurance, Payer Updates, Training, Updates

BCBS NY Medicaid: Ocrevus/Vyepti Medical Step Therapy Notice

Starting for DOS on 04/01/2021 and thereafter, the following medications will be added to BCBS NY Medicaid Step Therapy.

Step therapy review applies upon precertification initiation or renewal in addition to the current medical necessity review.

To see the full clinical criteria/medical policy for Ocrevus, please click here.

To see the full clinical criteria/medical policy for Eptinezumab, please click here.

Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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