Aspirus Arise policy updates
Track new and updated Aspirus Arise policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| September 2025 P&T formulary decisions (partial) — Pharmacy & Specialty Drugs coverage criteria | Aspirus Arise | Clinical | Pharmacy & Specialty Drugs | Modified | Feb 1, 2026 |
| Authorization and Notification Requirements | Aspirus Arise | Clinical | Other | Modified | Jun 1, 2025 |
| 340B TB modifier reporting and payment for Part B drugs | Aspirus Arise | Reimbursement | — | Modified | Mar 4, 2025 |
| Post Stabilization Care - Medicare | Aspirus Arise | Clinical | Emergency & Medical Transportation | Modified | Jan 1, 2025 |
| Category III (Temporary) CPT Codes Coverage | Aspirus Arise | Clinical | Laboratory/Pathology | Modified | Jan 1, 2025 |
| Part D Prescription Drug Transition Policy | Aspirus Arise | Clinical | Pharmacy & Specialty Drugs | Modified | Jan 1, 2025 |
| Medicare Part D Prescription Drug Transition Policy | Aspirus Arise | Clinical | Pharmacy & Specialty Drugs | Modified | Jan 1, 2025 |
| Member Reimbursement | Aspirus Arise | Reimbursement | — | Modified | Jan 1, 2025 |
| Providers Not Participating with Medicare | Aspirus Arise | Reimbursement | — | Modified | Jan 1, 2025 |
| Post Stabilization Care | Aspirus Arise | Clinical | Emergency & Medical Transportation | Modified | Aug 1, 2024 |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.