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Frequently asked questions for Hennepin Health SNBC plan members who joined April 1, 2025.

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2024 prior authorization requirements

  • 01/03/2024

January 2024

Subject

Hennepin Health prior authorization requirements for 2024.

Providers affected

Telehealth providers

Key points

  • Hennepin Health updated prior authorization requirements which go into effect January 1, 2024.
  • The prior authorization list changes occurred in two sections, which are outlined below.

Background

Hennepin Health made updates to prior authorization requirements starting January 1, 2024. A summary of these updates follows.

1. Hennepin Health added a few codes under the “CAR T-cell Therapy” section.
• Q2043
• Q2055
• Q2056
2. Hennepin Health added four additional medications requiring prior authorization effective January 1, 2024 under the “Injections/drugs administered in a physician office/clinic outpatient setting” section.

  • Cimzia: J0717
  • Tremfya: J1628
  • Skyrizi: J2327
  • Actemra: J3262

The most up-to-date 2024 prior authorization list can be found on the Hennepin Health prior authorization webpage.

Resources

  • Hennepin Health Customer Service: 612-596-1036 (press 2)
  • Hennepin Health website

 

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