Florida Blue Large Group Cost Management Program Expansion
Effective April 1, 2016 you must ensure that a prior authorization has been approved before you have one of the services listed below:
- Advanced Imaging: Radiological services such as CTs, CTAs, MRIs/MRAs, PET scans, nuclear medicine and cariovascular system procedures such as myocardial imaging, myocardianl infusion studies and cardiac blood pool imaging.
- Select Medical Pharmacy Drugs: The list of drugs affected by this change is available online at floridablue.com/authorization or by calling customer service for assistance.
- Sleep Studies: Services to diagnose certain sleep disorders such as snoring, apneas or hypopneas in a home or facility setting.
- Spine Care: Services to manage pain related to the spine, such as injections and surgeries.
- Radiation Oncology: Radiation therapy services provided in an outpatient setting.