FEP Members to be Included in Surgical Device Management Program for Spine Services

Beginning August 14, 2023, our Surgical and Implantable Device Management Program for Spine Services will expand to include members enrolled in the Federal Employee Program® (FEP®).

TurningPoint Healthcare Solutions, LLC (“TurningPoint”) will begin accepting requests for Prior Authorization and Medical Necessity Determinations (“PA/MND”) starting on July 31, 2023, for spine-related services included in this program that are to be provided to FEP members on or after August 14, 2023.

Horizon collaborates with TurningPoint to administer this program. TurningPoint facilitates PA/MND reviews for certain spine-related services, many of which may require the use of an implantable device.

More information about this program is available on our Surgical and Implantable Device Management Program webpage.

The Federal Employee Program® and FEP® are registered marks of the Blue Cross and Blue Shield Association. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey.

TurningPoint Healthcare Solutions, LLC supports Horizon Blue Cross Blue Shield of New Jersey in the administration and utilization management review of certain surgical services that require the use of an implantable device for coverage. TurningPoint Healthcare Solutions, LLC is independent from, and not affiliated with Horizon Blue Cross Blue Shield of New Jersey or the Blue Cross and Blue Shield Association