Search Results

Ama Policy

Medicare Advantage Step Therapy D-320.981

07/30/2019
Step Therapy Override
Ama Policy

Medicare Advantage Step Therapy D-320.984

07/30/2019
Step Therapy Override
Ama Policy

Medicare Part B Competitive Acquisition Program (CAP) H-110.983

07/30/2019
Step Therapy Override
Ama Policy

Eliminate Fail First Policy in Addiction Treatment H-320.941

07/30/2019
Step Therapy Override
Ama Policy

Prior Authorization Requirements for Post-Operative Opioids: H-95.919

10/14/2019
ERISA-Med. Nec. Decisions-Deadlines, Med. Adv.-Med. Nec. Appeals-Deadlines, Step Therapy Override
Ama Policy

Step Therapy H-320.937

09/17/2020

Step Therapy

Step Therapy Override
Ama Policy

Third Party Payer Quantity Limits H-185.942

10/15/2019
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines, Step Therapy Override, U.R. Criteria
State Law

Ariz. Rev. Statutes-Title 20. Insurance-Chapter 30-Article 1. General Provisions

09/16/2021 Arizona Sections 20-3601, 20-3602, 20-3603, and 20-3604

Definitions; Applicability; Clinical review criteria; Exceptions; process

 

Step Therapy Override