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CMS Proposes Changes To Medicare Part D Coverage For The 2024 Plan Year To Allow Prior Authorization To Remain In Place For A Full Course Of Treatment

The Centers for Medicare & Medicaid Services (CMS) proposed new policies for Medicare Advantage and Medicare Part D plans for the 2024 plan year to increase access to care, including behavioral health services, and promote equity in coverage and care. A key provision would allow a prior authorization to remain in place for a full course of treatment. As per the new policies, Medicare Advantage plans would need to develop and use coverage criteria and utilization management policies to ensure …

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