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MA09.020v, Radiation Therapy Services (Independence)

Independence Blue Cross·Oncology, Radiology·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Independence Blue Cross updated their Medicare Advantage medical necessity criteria for radiation therapy services, effective January 1, 2026. This policy change affects coverage determinations and approval requirements for radiation therapy procedures under MA plans.

Action Required

Action needed
Before January 1, 2026: Review updated medical necessity criteria for radiation therapy services under Independence Medicare Advantage plans. Billing team and providers must ensure documentation meets new criteria requirements to avoid claim denials. Update prior authorization workflows if additional requirements are specified in the full policy.