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FLASH: August P&T Committee Meeting Updates

Neurology

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August 2024 Newsletter

Grateful for Summer, Grateful for You The summer months are such a special time of year – beautiful sunshine, warm temperatures, outdoor adventures and more. But we also know how busy this time of year is for you, as you work extra hard during these months to keep our members healthy. You’re there for their back-to-school physicals, summer injuries and illnesses, and more. We simply can’t thank you enough for all you do. It’s because of YOU that our members can enjoy their healthiest, happiest summer possible. Thank you.

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FLASH: Network Update – Carlinville Area

We are pleased to announce that Health Alliance™ and Carlinville Area Hospital & Clinics, including Carlinville Family Health Care and Girard Family Health Care, ("Carlinville") have signed new network participation agreements effective 08/01/24.

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FLASH: Prior Authorizations for Vascular Interventions

Health AllianceTM Medical Plans has expanded its partnership with EviCore to manage two additional prior authorization categories of service under the Vascular Intervention Program for our Health Alliance Commercial and Medicare members. For dates of service on or after August 12, 2024, providers must access EviCore on HealthAlliance.org to request prior authorizations on the following services.

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FLASH: New Covered Bariatric Surgery Procedures and CPT Codes Accepted for Reimbursement

Health Alliance™ recently updated the Bariatric Surgery for Severe Obesity Medical Policy with additional procedures and covered CPT Codes. Health Alliance will cover these three new bariatric procedures which combine gastric restrictive and intestinal malabsorptive features:

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