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MW April Newsletter 2019

As It Relates to You Coverage Update for Four Diagnosis Codes As of May 1, 2019, we will no longer cover services when the dx code is one of the following:

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NW April Newsletter 2019

As It Relates to You Coverage Update for Four Diagnosis Codes As of May 1, 2019, we will no longer cover services when the dx code is one of the following:

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FLASH: Provider Directory Updates through LexisNexis

As you know, it is vital your patients have access to accurate, up-to-date information in the provider directory. To ensure this accuracy, the Illinois Department of Human Services, the Illinois Department of Insurance, and the Centers for Medicare & Medicaid Services all require that providers review and update their information quarterly or whenever there is a significant change.

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Carle April Newsletter 2019

As It Relates to You Coverage Update for Four Diagnosis Codes As of May 1, 2019, we will no longer cover services when the dx code is one of the following:

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FLASH: Health Alliance Flash: Medicare Advantage Members Get Easier Access to Diabetes Monitors

As of January 1, 2019, our Medicare Advantage members no longer need preauthorization to get FreeStyle Libre glucose monitors. They can now get these monitors at in-network pharmacies that sell this product, along with the current durable medical equipment (DME) companies. The member’s out-of-pocket cost is the DME cost-sharing amount.

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