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MedicaidPrior AuthMedium impact

Erwinase® (asparaginase Erwinia chrysanthemi) (Revised)

Humana·LA · Oncology, Hematology·Medicaid
Effective date
Nov 1, 2025
We identified it
Jul 21, 2026
Days to comply

Summary

Humana Louisiana Medicaid updated its Erwinase (asparaginase Erwinia chrysanthemi) pharmacy coverage policy, effective November 1, 2025, with a revision date of July 22, 2026. Coverage requires prior authorization and mandates that members have documented Grade 2-4 hypersensitivity to prior Oncaspar treatment, ALL diagnosis, and use within a multi-agent chemotherapy regimen. The policy excludes members with history of serious pancreatitis, thrombosis, hemorrhagic events, or disease progression on asparaginase therapy.

Action Required

Action needed
By November 1, 2025: Billing team must implement prior authorization requirements in the billing system for all Erwinase claims for Louisiana Medicaid members. Update claim submission workflows to require: (1) documentation of ALL diagnosis, (2) evidence of Grade 2-4 hypersensitivity to prior Oncaspar treatment (per CTCAE v4.03 criteria), and (3) confirmation of multi-agent chemotherapy regimen use. Screen all claims for exclusion criteria (serious pancreatitis, thrombosis, hemorrhagic events, or disease progression history) and deny if present. Configure system to auto-deny claims without Grade 2-4 hypersensitivity documentation. Notify oncology providers and pharmacy partners of the updated requirements. Initial approval duration is 6 months; set system reminders for renewal prior authorization requests. Failure to obtain prior authorization will result in claim denials.

Affected Billing Codes

J9019