Prohibition on Imposing Mandatory Step Therapy for Access to Part B Drugs and Services
Guidance for a reminder to Medicare Advantage Organizations (MAOs), Section 1876 Cost Contractors, Section 1833 Health Care Prepayment Plans, and PACE Organizations that the imposition of additional requirements for access to certain Part B drugs or services, such as step therapy requirements, is not permitted unless also required through Original Medicare.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 17, 2012
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