Clarification: Authorizations for outpatient infusions

In previous Record articles (October 2017, December 2017 and March 2018), we indicated that certain medical drugs can no longer be administered in an outpatient hospital facility without authorization for the medical drug and location. We wanted to clarify the following:

This authorization requirement only applies to groups that are currently participating in the commercial Medical Drug Prior Authorization Program for drugs administered under the medical benefit.

You can find the list of groups that opted out of the Medical Drug Prior Authorization Program on web-DENIS by following these steps:

1. After logging in to web-DENIS, click on BCBSM Provider Publications and Resources.
2. Click on Newsletters & Resources.
3. Under Other Resources,click on Forms.
4. Click on Physician administered medications.
5. Click on BCBSM Medical Drug Prior Authorization Program list of groups that have opted out.

Be sure to review the message and notes that precede the list.