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Policy Matters
Our Public Policy & Regulatory Affairs team constantly monitors the latest legislative and regulatory activity that impacts you and the services we provide.
Recent blog posts
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December 11, 2024 · Public Policy & Regulatory Affairs Team
Latest updates from the states of Washington, New York, Nevada, Texas, Washington, Ohio, Colorado, Vermont, and New Mexico Read more... |
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November 20, 2024 · Public Policy & Regulatory Affairs Team
Latest updates from the states of Washington, Alaska, California, and New York, covering fee schedule, ebilling, and more. Read more... |
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October 30, 2024 · Public Policy & Regulatory Affairs Team
The latest updates on: CA, Work Comp, Fee Schedule, Drug Formulary, eBilling, Doctor Dispensing, and PTSD Read more... |
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October 14, 2024 · Public Policy & Regulatory Affairs Team
Minnesota adopts their annual medical fee schedule updates, California; DMEPOS FS adjusted, MTUS updated and UR bill vetoed, New Mexico, Massachusetts and Florida hold hearings. Read more... |
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September 16, 2024 · Public Policy & Regulatory Affairs Team
The Policy Guys boldly attempt to unwrap the enigma that is prior authorization. Read more... |
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September 12, 2024 · Public Policy & Regulatory Affairs Team
New Mexico proposed rules require preauthorization. for physician dispensing, add late payment penalty; Ohio proposes changes to pharmacy fee schedules; California bill requiring UR physicians to hold in-state license revived Read more... |
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August 22, 2024 · Public Policy & Regulatory Affairs Team
In Florida, the Division of Workers’ Compensation continues to revise its Healthcare Provider Reimbursement Manual. The Texas Division of Workers’ Compensation is likewise revising its pharmacy benefit rules. The Delaware Department of Labor has posted its Workers’ Compensation health care practice guidelines on its website. The Idaho Industrial Commission is still conferring with stakeholders on potential rule changes. Read more... |
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July 31, 2024 · Public Policy & Regulatory Affairs Team
Colorado proposes prohibiting physician dispensing of gabapentin and mandating eBilling; Alaska first responder PTSD presumption enacted; Michigan work comp advisory committee meeting reviews medical fee schedule changes and discusses pharmaceutical issues; Idaho work comp rulemaking meetings address medical fees and disputes; Kentucky bills add to PBM and insurer requirements; Minnesota renews electronic eligibility transaction exemption for work comp and auto. Read more... |
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July 10, 2024 · Public Policy & Regulatory Affairs Team
California work comp proposed UR rule changes; Montana fee schedules and drug formulary updated; Michigan bill applying false claims law to PIP advances; Idaho legislation adds to PBM requirements. Read more... |
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June 27, 2024 · Public Policy & Regulatory Affairs Team
After years of attempts, New York lawmakers finally passed legislation impacting the ability of employers and insurers to direct workers’ comp pharmacy care. Read more... |
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June 20, 2024 · Public Policy & Regulatory Affairs Team
The California DWC now invites further comments to yet more proposed changes to its already proposed changes to the state’s workers’ comp pharmacy fee schedule rules. Rely on Optum to make sense of it all. Read more... |
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June 12, 2024 · Public Policy & Regulatory Affairs Team
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