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Carecentrix-Cigna Core Business – Provider Newsflash-4/22/20 – note: CCX providers no longer need to look up the latest NewsFlash; please go to your Provider Portal and look under the Support section for updates.

• Proof of Delivery Signature Waived – Yes
• Proof of Delivery Instructions – Document reason for no signature and verify confirmation that patient has received equipment/service.
• Prior Authorization Flexibilities – Retro authorization for 90 days for Dates of service through 5/31/20 for all Diagnoses. SEE RESPIRATORY MEDICAL POLICY
• Respiratory Medical Policy –  No Prior auth for respiratory related equipment (oxygen, neb, RAD, vent, suction, pulse ox, cough assist for COVID-19 DX.
• Face 2 Face Flexibilities – Waived with documentation issued by physician surrogates or existing orders and results currently available.     
• CRT Face-2-Face – Replace face to face requirement with physician prescription or tele-evaluation.  Providers may conduct a video evaluation by LCMP.  Providers may perform home assessment via video or verbal interview.
• Order Quantity Changes – Allow 180 day supply shipment and can ship 30 days in advance for specific supply codes.
• Replacement DME for Displaced Patients – Yes
• PAP Instruction Via Telephone or video messaging – Allowed

Carecentrix-Cigna NALC – Provider Newsflash-4/22/20 – note: CCX providers no longer need to look up the latest NewsFlash; please go to your Provider Portal and look under the Support section for updates.

• Proof of Delivery Signature Waived – Yes
• Proof of Delivery Instructions – Document reason for no signature and verify confirmation that patient has received equipment/service.
• Prior Authorization Flexibilities – Not allowed
• Respiratory Medical Policy –  No Prior auth for respiratory related equipment (oxygen, neb, RAD, vent, suction, pulse ox, cough assist for COVID-19 DX. 
• Face-2-Face Flexibilities – Face-2-Face required
• Complex Rehab Face-2-Face – Face-to-Face required
• Order Quantity Changes – Not allowed
• Replacement DME for Patients displaced due to Pandemic – Not allowed
• PAP Instruction Via Telephone or video messaging – Allowed

Carecentrix-Cigna PSG – Provider Newsflash-4/22/20 – note: CCX providers no longer need to look up the latest NewsFlash; please go to your Provider Portal and look under the Support section for updates.

• Proof of Delivery Signature Waived – Yes
• Proof of Delivery Instructions – Document reason for no signature and verify confirmation that patient has received equipment/service.
• Prior Authorization Flexibilities – Not Allowed
• Respiratory Medical Policy –  Not Allowed 
• Face-2-Face Flexibilities – Face-2-Face Required
• Complex Rehab Face-2-Face – Face-2-Face Required
• Order Quantity Changes – Not allowed
• Replacement DME for Patients displaced due to Pandemic – Not allowed
• PAP Instruction Via Telephone or video messaging – Allowed

Carecentrix-Cigna Shared Administration/Alliance  – Provider Newsflash-4/22/20 – note: CCX providers no longer need to look up the latest NewsFlash; please go to your Provider Portal and look under the Support section for updates.

• Proof of Delivery Signature Waived – Yes
• Proof of Delivery Instructions – Document reason for no signature and verify confirmation that patient has received equipment/service.
• Prior Authorization Flexibilities – Not allowed
• Respiratory Medical Policy –  Not allowed 
• Face-2-Face Flexibilities – Face-to-Face required
• Complex Rehab Face-2-Face – Face-to-Face required
• Order Quantity Changes – Not allowed
• Replacement DME for Patients displaced due to Pandemic– Not allowed
• PAP Instruction Via Telephone or video messaging – Allowed

Carecentrix-Florida Blue – Provider Newsflash-4/22/20 – note: CCX providers no longer need to look up the latest NewsFlash; please go to your Provider Portal and look under the Support section for updates.

• Proof of Delivery Signature Waived – Yes
• Proof of Delivery Instructions – Document reason for no signature and verify confirmation that patient has received equipment/service.
• Prior Authorization Flexibilities – Retro authorization for 90 days for Dates of service through 5/31/20 for all Diagnoses.
• Respiratory Medical Policy – No Prior auth for respiratory related equipment (oxygen, neb, RAD, vent, suction, pulse ox, cough assist for COVID-19 DX. 
• Face 2 Face Flexibilities – Waived with documentation issued by physician surrogates or existing orders and results currently available.
• Complex Rehab Face 2 Face – Replace face to face requirement with physician prescription or tele-evaluation.  Providers may conduct a video evaluation by LCMP.
• Order Quantity Changes – Allow 90 day supply shipment and can ship 30 days in advance for specific supply codes.
• Replacement DME for Patients displaced due to Pandemic – Yes
• PAP Instruction Via Telephone or video messaging – Allowed

Carecentrix-Horizon – Horizon Oxygen Bulletin-April 2020 –  Provider Newsflash-4/22/20 – note: CCX providers no longer need to look up the latest NewsFlash; please go to your Provider Portal and look under the Support section for updates.

• Proof of Delivery Signature Waived – Yes
• Proof of Delivery Instructions – Document reason for no signature and verify confirmation that patient has received equipment/service.
• Prior Authorization Flexibilities – Retro authorization for 90 days for Dates of service through 5/31/20 for all Diagnoses.  **SEE RESPIRATORY MEDICAL POLICY
• Respiratory Medical Policy – No Prior auth for respiratory related equipment (oxygen, neb, RAD, vent, suction, pulse ox, cough assist for COVID-19 DX.
• Face 2 Face Flexibilities – Waived with documentation issued by physician surrogates or existing orders and results currently available.
• Complex Rehab Face-2-Face – Replace face-to-face requirement with physician prescription or tele-evaluation.  Providers may conduct a video evaluation by LCMP.  Providers may perform home assessment via video or verbal interview
• Order Quantity Changes – Allow 90 day supply shipment and can ship 30 days in advance for specific supply codes.
• Replacement DME for Patients displaced due to Pandemic – Yes
• PAP Instruction Via Telephone or video messaging – Allowed