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Homeempowering women

Women’s Health

Staying healthy and well is one of the most important things women can do for themselves and for their loved ones, especially during the COVID-19 pandemic. Here are some ways women can put their health first:

 

Stay Active

Regular exercise can help women boost their mood, maintain a healthy weight, and improve sleep. It also lowers risk for heart disease, breast cancer, stroke, and type 2 diabetes. Women should speak with their doctor about what type of exercise is right for them.

Eat Healthy
Eating healthy can help women improve their health and prevent diseases. Eat plenty of fruits, vegetables, and whole grains, as well as lean meats, poultry, fish, beans, eggs, and nuts. Avoid having too much sodium, sugar, cholesterol, saturated fats, and trans fats.
Get Regular Checkups
Regular checkups and wellness exams help women increase their chances of living a longer, healthier life. Women should check with their primary care provider about the care and screenings they need, and whether they should schedule an in-person or telehealth appointment.

Follow Recommended Screenings

Expand Chart

Maintain Healthy Levels
A well-rounded diet and regular exercise can help keep women’s blood pressure, cholesterol, and blood sugar at healthy levels. Women should talk to their primary care provider or heart specialist about safely reducing their risk and setting goals for a healthier heart.
Avoid Smoking
Smoking or using tobacco products greatly increases women’s risk of heart disease. Women who want to quit should speak to their primary care provider for help and to see if there are medications or nicotine replacement products that are right for them. Non-smokers who have high blood pressure or high blood cholesterol also have a greater risk of developing heart disease when they’re exposed to secondhand smoke.

More on Women's Health


Fidelis Care Authorization Grids Effective January 1, 2022 (Updated)
12/13/2021 • Posted by Provider Relations

The following sections of the Fidelis Care authorization grids have been updated effective January 1, 2022.

The Medicaid, Medicare, Essential Plan, & Metal Level Plan grids have been updated as follows:

Elective Surgical Procedure: the List of Inpatient Only Procedures has been updated for 2022.

Outpatient surgery: The following services require prior authorization:

  • Eyelid and Ocular Procedures: new codes 66989, 66991, & 68841 added.
  • Speech Processor Implant Procedures (new category): 69716, 69719, 69726, & 69727.
  • “Esophageal sphincter augmentation” has been updated to “Esophageal procedures”: added 43497.

 

Outpatient and DME Services: The following services require prior authorization:

  • Diagnostic testing - Wireless Motility capsule: added 91113.
  • Imaging Studies - TBS Scans: 77089, 77090, 77091, & 77092 added.
  • Therapeutic Services - Pain Management Codes: 64582, 64583, 64628, & 64629 added.
    • Therapeutic Services – “Other” Category: 61736, 61737 added.

 

The following changes apply to the Medicaid line of business only:

“DME and pharmaceutical treatment for Erectile Dysfunction” has been updated to be “DME, Services, and Pharmaceutical treatment for erectile dysfunction”; codes 54408,54410,54411,54416,54417,& 55870 added.

 

Pharmacy:

  • These codes require authorization under Medicaid, Medicare, Essential Plan, & Metal Level Plans.

C9085 avalglucosidase alfa-ngpt inj

C9086 anifrolumab-fnia

J0172  adacanumab-avwa (Aduhelm)

J1952  leuprolide inj (Camcevi)

J2506  pegfilgrastim (Neulasta) *formerly J2505

J9021 asparaginase rec (Rylaze) inj

J9061 amivantamab-vmjw inj

J9272  dostarlimab-gxly inj

Q2055 idecabtagene vicleucel (Abecma)

 

  • The following codes have been removed from the authorization grids specified:

J2505 – changed to J2506, removed for All Lines of Business

S0013  esketamine nasal spray – removed from Medicaid

C9081 Idecabtagene vicleucel (Abecma) – removed from Medicare

C9082 dostarlimab-gxly (Jemperli) – removed from Medicare

C9083 amivantamab-vmjw (Rybrevant) – removed from Medicare

 

Visit:  Authorization Grids

 

COVID-19 UPDATE: Please refer to this link:  Important Updates Regarding Coronavirus COVID-19, for authorization and coding guidelines related to the COVID-19 Pandemic.

Additional Resources:

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