CommercialAdministrativeMedium impact
Mutual News Q4 2018 Newsletter
Medical Mutual of Ohio·OH·Mutual News Newsletter
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Medical Mutual issued their Q4 2018 newsletter with multiple policy updates including revised medical policies for procedures like skin substitutes and radiation therapy, pharmacy policy changes for specialty drugs, and upcoming formulary changes effective January 1, 2019. New member ID cards will be issued around January 1, 2019 with updated network information.
Action Required
By January 1, 2019: Billing team must review updated Corporate Medical Policies listed in the newsletter for services like skin substitutes, radiation therapy, and specialty drugs. Update prior authorization processes for new specialty drugs and formulary changes. Alert front desk staff about new Medical Mutual ID cards being issued to members around January 1, 2019. Review member formulary assignments (Basic Plus, National Preferred Plus, High Performance Plus, Medicare) before prescribing medications.