PA Resources Portlet
CODING & DOCUMENTATION
EDUCATION & EVENTS
ENROLLMENT & CREDENTIALING
FORMS & MANUALS
POLICIES & GUIDELINES
PROGRAMS & INITIATIVES
PROVIDER NETWORKS & SPECIALTIES
PA Dynamic Rendering
Home infusion includes services provided in a patient’s home by a home infusion agency or provided in an infusion suite associated with the home infusion agency. Services include intravenous or subcutaneous administration of drugs and total parenteral nutrition (TPN).
Refer to the Home Infusion manual for information about our policies, procedures, and a variety of topics important to home health providers.
Precertification of Home Infusion Services
Precertification for provider-administrated drugs may be required by the patient’s health plan. Be sure to verify benefits for each patient (including Blue Advantage®). Precertification can be initiated by following a link that appears in ProviderAccess Eligibility and Benefits for eligible members. This precertification review for provider-administered drugs is performed by Magellan Rx Management.
It is the responsibility of the ordering physician to obtain the precertification, and it is the responsibility of the home infusion agency to verify that it has been obtained. There are no retroactive certifications for most benefit plans.
Medical Policies – View medical policies by selecting Provider-Administered Drug Policies under Pharmacy Resources.
Home Health and Home Infusion Updates
Home Health and Home Infusion Updates Part 2
Blue Advantage is a Medicare-approved PPO plan provided by Blue Cross and Blue Shield of Alabama, an independent licensee of the Blue Cross and Blue Shield Association.
Magellan Rx ManagementSM is an independent company providing medical review services on behalf of Blue Cross and Blue Shield of Alabama.