CommercialCoverageMedium impact
Reminder: Infusion Site of Care Policy Update
EmblemHealth·Oncology, Hematology, Rheumatology +4 more·Provider News
Effective date
Jul 15, 2024
We identified it
Jun 20, 2026
Summary
EmblemHealth/ConnectiCare updated their Site of Service Medical Policy for infusions and injectables effective July 15, 2024, adding 170 medications and removing age restrictions so the policy now applies to all commercial members (not just those over 21). The policy aims to ensure injectable and infusion medications are administered at the most clinically appropriate site of care.
Action Required
Immediately: Billing team must review the updated Site of Service Medical Policy for infusions and injectables on EmblemHealth/ConnectiCare's website to understand the 170 newly added medications and site of service requirements. Update prior authorization and billing protocols to ensure all commercial members (regardless of age) receive infusions at appropriate sites. Verify site of service requirements before scheduling infusion appointments to prevent claim denials.