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HealthPro News – August 2026 [PDF]
HealthPro News
A monthly publication for participating HMSA health care providers, facilities, and their staff.
August 2026
| ADMINISTRATION & NEWS | |
|---|---|
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From Stefanie Park, M.D., HMSA vice president and chief medical officer. |
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· · · |
Covered under the EUTF point-of-service prescription drug plans. |
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· · · |
Submit your attestation each quarter. |
| CONTRACT NOTIFICATION | |
|---|---|
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Effective Aug. 1. |
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· · · |
Significant Changes for Policies Requiring 60-day Notice [PDF] Effective Oct. 1. |
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· · · |
Medical Specialty Drug Policy Update [PDF] Effective Oct. 1. |
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Essential Drug Formulary Changes [PDF] Effective Oct. 1. |
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Federal Plan 87 Drug Formulary Changes [PDF] Effective Oct. 1. |
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Metallic Drug Formulary Changes [PDF] Effective Oct. 1. |
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Optimal Drug Formulary Changes [PDF] Effective Oct. 1. |
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Postal Service Drug Formulary Changes [PDF] Effective Oct. 1. |
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Select Drug Formulary Changes [PDF] Effective Oct. 1. |
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Effective Oct. 1. |
| PHARMACY | |
|---|---|
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· · · |
CMS GLP-1 Bridge Program [PDF] Gives eligible Medicare patients access to GLP-1 medications for expanded indications. |
| PROGRAMS | |
|---|---|
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Change in ASAM Criteria from 3rd to 4th Edition [PDF] Starting Jan. 1, 2027. |
| POLICY NEWS | |
|---|---|
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Prolia Biosimilar Preferred Drug Program [PDF] New program effective Oct. 1. |
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Annual Review of Medical Policies [PDF] Complete list online. |
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Annual Review of Medical Specialty Drug Policies [PDF] Effective as of June 26. |
| CALENDAR | |
|---|---|
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· · · |
Health Education Workshops [PDF] No-cost sessions that can help your patients. |
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Health- and fitness-related activities. Nominal fees. |
· COMMERCIAL · QUEST · MEDICARE
View past issues of HMSA’s HealthPro News in the Provider Resource Center.
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform. |