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Changes to Prior Authorization Requirements for EpiFix skin substitute - Effective 7/11/22


Change effective July 11, 2022:

For Medicare Advantage members who are being recommended for treatment with EpiFix skin substitute, PacificSource Medicare Advantage plans will begin requiring a prior authorization for this treatment. The associated code(s) will be added to our prior authorization grid (https://administration/AuthorizationGrid/Search) on July 11, 2022. Any questions can be directed to our Medicare Health Services department.