The Latest on BCBS FEP Rules (February 22, 2024)-BCBS FEP Slides

BCBS FEP Slides

Pdf Summary

The document provides insights on the latest updates regarding BCBS FEP rules, as presented by Samantha Sikorski and Sierra Sharpe. The presentation covers topics such as the Federal Health Benefits Program (FEHB), the 2024 UM guideline requiring a 40dB Pure Tone Average (PTA) for hearing aids, prior authorization requirements, FDA approval, and the importance of complying with policies to protect taxpayer dollars. It emphasizes the need for proper documentation, including audiograms and clinical assessments, and the submission of clean prior authorization requests within specific timeframes.<br /><br />Additionally, the document highlights the processes for filing appeals, complaints, and urgent authorizations, stressing the significance of following guidelines for FDA-approved hearing aids and proper registration. The presentation also addresses issues such as hearing aid replacements, non-covered items like over-the-counter devices, and the importance of submitting queries for clarity during the session.<br /><br />Overall, the webinar aims to educate healthcare providers on ensuring that federal employees and retirees receive quality hearing aids through the FEHB program while adhering to the defined rules and regulations. Attendees are encouraged to access resources for continued education and contact the presenters for further assistance or information.

Keywords

BCBS FEP rules

Samantha Sikorski

Sierra Sharpe

Federal Health Benefits Program

2024 UM guideline

Pure Tone Average

prior authorization requirements

FDA approval

compliance with policies

audiograms