Medicare AdvantageCoverageMedium impact
MA05.060e, External Infusion Pumps
Independence Blue Cross·Oncology, Endocrinology, Infectious Disease +4 more·Pharmacy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage has updated their policy MA05.060e regarding External Infusion Pumps, effective January 1, 2026. This policy change affects coverage, billing, or authorization requirements for external infusion pump services and related pharmacy benefits.
Action Required
Before January 1, 2026: Billing team must review the complete MA05.060e policy at the provided URL to understand specific changes to external infusion pump coverage requirements. Update billing procedures, prior authorization workflows, and documentation requirements as specified in the full policy. Ensure all staff billing infusion services are trained on the new requirements.