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Text of CMS FAQs on Issuer Flexibilities for Utilization Management and Prior Authorization (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Official Guidance]
Apr. 22, 2020

"[1] What flexibilities can health insurance issuers, including those offering coverage in the individual and large and small group markets, offer with respect to utilization management to mitigate the impact of the [COVID-19] public health emergency on providers? ... [2] What flexibilities are available to issuers regarding the application of utilization management to formulary drugs that are being prescribed for off-label use to treat COVID-19?" [Unnumbered document, Apr. 21, 2020]

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