Medicare AdvantageCoverageMedium impact
MA12.011d, Prescription Digital Therapeutics and Mobile-Based Health Management Applications
Independence Blue Cross·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
New Medicare Advantage policy MA12.011d covers prescription digital therapeutics and mobile-based health management applications effective January 1, 2025. This establishes coverage criteria for digital health apps and software prescribed by physicians for therapeutic purposes.
Action Required
Immediately: Billing team should review the full policy text at the provided URL to understand coverage criteria and billing requirements for prescription digital therapeutics. Update billing procedures to comply with new coverage guidelines for digital health applications prescribed to Medicare Advantage members.