Updates & Announcements
We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner.
Quick References
- COVID-19 information
- Pharmacy information, including our Preferred Drug Lists (PDLs)
- Medical, pharmacy, reimbursement and administrative policies
Please note: The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
General Updates
| 2025 | Date |
|---|---|
| ASH Acupuncture Policy Update - June 2025 | 06/01/2025 |
| Provider Focus Group Invite | 05/19/2025 |
| Policy Updates May 2025 | 05/01/2025 |
| Prothesis and Orthosis Claims Editing Logic | 04/10/2025 |
| Policy Updates April 2025 | 04/01/2025 |
| Avalon Policy Update - April 2025 | 04/01/2025 |
| Policy Updates March 2025 | 03/01/2025 |
| Avalon Policy Updates - Q4 2024 | 03/01/2025 |
| Policy Updates February 2025 | 02/01/2025 |
| Avalon Policy Update - February 2025 | 02/01/2025 |
| Updating Demographics | 01/01/2025 |
| CMS Notice of Medicare Non-Coverage (NOMNC) Model Document Updates for Medicare Advantage Enrollees | 01/01/2025 |
| Prior Authorization Requirement Update | 01/01/2025 |
| Reminder - Prior Authorization Request and Appeals Process for Part B (Medical Drugs) | 01/01/2025 |