Kentucky Maximum Allowable Cost Reimbursement Appeal Approval Notification

Health New England (HNE) – Commercial Plans

Please find the enclosed Network Enrollment Form, effective January 1, 2019, for the following network:

To stay in regulatory compliance with CMS guidance outlined below, effective immediately claim processing coding has been updated to prevent COB charges for Medicare LICS copays to South Country Health Alliance Medicaid.

Effective April 1, 2018, Blue Cross Blue Shield Alabama "BCBSAL" will be implementing an utilization management program which limits the duration of therapy of immediate release opioids, including single and combination agents.