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News

New MHS Utilization Management Policy Effective 2/14/2022

Date: 12/09/21

Thank you for your continued partnership with Managed Health Services (MHS). As you know, we continually review and update our payment and utilization policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of new policies MHS will be implementing effective 2/14/2022.

Policy Number

Policy Name

Policy Description

Lines of Business

CC.PP.070

340B Drug Payment Reduction

Ensures that providers participating in the 340B Drug Pricing Program are correctly reporting 340B acquired drugs according to guidelines established by the Centers for Medicare and Medicaid Services (CMS).

Marketplace

For detailed information about these policies, please refer to our website at mhsindiana.com. For questions about this or any of our payment or utilization management policies, please don’t hesitate to reach out to the MHS Provider Services team at 1-877-647-4848.