Tag - DMD gene

Provider Alert!

Provider Alert! Coverage of Elevidys Begins January 2024 

Date: November 30, 2023  Attention: All Providers  Prior authorization effective date: February 1, 2024 Call to action: The purpose of this communication is to inform providers that on January. 1, 2024, Elevidys will become a benefit of Medicaid and CHIP. Health and Human Services commission (HHSC) will require prior authorization for Elevidys (procedure code J1413) for Medicaid and CHIP, effective February 1, 2024. Elevidys is an adeno-associated virus vector-based gene therapy indicated for the treatment of ambulatory pediatric clients ages 4 through 5 years...