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Arkansas Blue Cross Blue ShieldCommercial · Administrative · Medical Policy · AR · Neurology, Oncology, HematologyLow impact

Policy Criteria Changes

Act
by Nov 15, 2025
Effective date
Nov 15, 2025
Identified
Jun 19, 2026

Summary

Arkansas Blue Cross is reorganizing spinal muscular atrophy treatment policies by splitting one policy into three separate policies for different drugs, and adding new safety guidelines for Ublituximab and Caplacizumab treatments. All changes are administrative reorganizations with no impact on coverage or billing requirements.

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What to do

by Nov 15, 2025 · 2 steps
01Update prior authorization reference materials to use new policy numbers - Policy 2025026 for Zolgensma and Policy 2025027 for Evrysdi instead of the old combined Policy 2019011.
02Inform providers that prescribing Briumvi requires ensuring no active serious infections including Hepatitis B, and Cablivi requires monitoring for severe infusion reactions or hemorrhage.

Original notice

Policy Criteria Changes
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Related changes

See all Arkansas Blue Cross Blue Shield changes →
Policy Criteria ChangesMediumEffective Nov 24, 2025 · Medical PolicyPolicy Criteria ChangesMediumEffective Nov 15, 2025 · Medical PolicyPolicy Criteria ChangesMediumEffective Nov 15, 2025 · Medical PolicyPolicy Criteria ChangesHighEffective Dec 1, 2025 · Medical PolicyBrowse every Arkansas Blue Cross Blue Shield change in the policy list

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Arkansas Blue Cross Blue Shield policiesAR policy changesNeurologyOncologyHematology

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