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Update to Commercial and ACA Medical Benefit Product Coverage for Medical Mutual Plans - December 2023

Medical Mutual of Ohio·Hematology, Oncology, Neurology +3 more·Medical Policy
Effective date
Dec 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Medical Mutual now requires trial of two preferred IVIG products before non-preferred IVIG can be prescribed, effective December 1, 2023. All IVIG treatments require prior authorization, with specific preferred and non-preferred drug lists provided.

Action Required

Action needed
Immediately: Billing team must update prior authorization processes for all IVIG medications (J1572, J1561, J1569, J1566, J1557, J1568, J1459, J1556, J1599, J1554) for Medical Mutual patients. Providers must document trial of two preferred IVIG products before prescribing non-preferred options. Update encounter forms to include step therapy documentation requirements. Claims will require prior authorization or will be denied.

Affected Billing Codes

J1572
J1561
J1569
J1566
J1557
J1568
J1459
J1556
J1599
J1554