CommercialCoverageMedium impact
Medical Policy Update for March 20, 2024
Blue Cross NC·NC · ENT (Ear, Nose & Throat), Psychiatry, Neurology +3 more·Medical Policy
Effective date
Mar 20, 2024
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated multiple medical policies on March 20, 2024, with key coverage changes including removal of age restrictions for Osia hearing aids, expanded TMS therapy eligibility to age 15+, and explicit exclusion of telehealth for partial hospitalization programs. Most updates involve reference additions and policy clarifications with scheduled reviews in February 2025.
Action Required
Immediately: Billing teams should review updated coverage criteria for hearing aid procedures (remove 12-year age requirement for Osia system), update TMS therapy eligibility to include patients 15 years and older for repeat treatments, and ensure partial hospitalization programs are not billed via telehealth (will be denied). Update encounter forms and EMR templates to reflect new age criteria and service delivery restrictions.