Quartz Updates – Summer 2021

Medicare Vaccine Claims

Medicare Fee-for-service (FFS) is paying for the COVID-19 vaccine and its administration for all Medicare members (even Medicare Advantage members) during 2020-2021. Providers should send claims for the COVID-19 vaccine to Medicare FFS, not to Quartz. Learn more.

Prior Authorizations

Effective March 1, 2021, Intensive outpatient and day treatment have been removed from our prior authorization list.

Quick Links for Your Reference

Prescribing medication or giving medication in the office, and you want to know if it is on the formulary and/or requires prior authorization?

• Commercial plans: QuartzBenefits.com/DrugFormulary
• Quartz Medicare Advantage: QuartzBenefits.com/MAFormularyPage

Need to submit a prior authorization request for a prescription medication?

• Commercial plans: QuartzBenefits.com/medPA
• Quartz Medicare Advantage: QuartzBenefits.com/MAmedPA

Need to submit a prior authorization request for a clinic-administered medication?

• Commercial plans and Quartz Medicare Advantage: MyQuartzTools.com