July 2025

In case you missed them, here is a recap of and links to all of the U.S. commercial articles that were published in the Provider Newsroom in July.

Lactation counseling for your patients with Cigna Healthcare plans

(July 31, 2025) Breastfeeding during the first few months of an infant’s life has significant health impacts for both mothers and babies. Lactation support is available to your patients during the third trimester of pregnancy and throughout the postpartum period. 

Latest news for Cigna Healthcare providers

(July 30, 2025) Wondering what’s been added since your last visit to the Provider Newsroom? Access a summary of the latest news by month.

National Immunization Awareness Month: The value of provider recommendations

(July 30, 2025) August is National Immunization Awareness Month, and an ideal time to highlight the importance of vaccinations with your patients of all ages. Routine vaccinations by in-network providers are covered at no cost.

Help expedite quality of care delivery through complete clinical documentation

(July 23, 2025) To help ensure your patients receive the appropriate level of care without unnecessary delays, and that you receive the proper reimbursement, Cigna Healthcare^® prioritizes delivering prompt and accurate inpatient reviews.

Metabolic screenings and therapy for patients prescribed antipsychotic medications

(July 21, 2025) The use of atypical antipsychotic medications can be effective in the management of mental health disorders but may increase the risk for weight gain and metabolic disorders. Learn about recommendations for treating patients who are prescribed these medications.

2025 Clinical, reimbursement, and administrative policy updates

(July 11, 2025) To support access to quality, cost-effective care for your patients with a medical plan administered by Cigna Healthcare, we routinely review clinical, reimbursement, and administrative policies for potential updates. Learn about policy updates effective March 15-October 11, 2025.

Early screening for anxiety, depression, and substance use can make a significant difference

(July 7, 2025) Research demonstrates that psychological and substance use disorders that develop in adulthood often have onset symptoms during childhood and adolescence. When symptoms are recognized early in life, providers can initiate a pathway to effective interventions.

Ambulatory medical record reviews

(July 1, 2025) Each year we randomly audit a sample of network-participating providers to validate they meet all medical record documentation requirements. During an ambulatory medical record review, we may ask you to send a copy of your patient’s medical records. 

Oncology drug dose rounding program: July 7 drug list update

(July 1, 2025) On January 1, 2025, Cigna Healthcare began an oncology drug dose rounding program to reduce drug waste for a variety of injectable oncology drugs while maintaining a therapeutic response. To optimize drug dosage, drugs included in the program are rounded down to the nearest vial size when the difference between the prescribed drug and vial size is within 5 to 10 percent. 

Massachusetts—Reminder to update your online provider directory listing

July 1, 2025) It is important that your provider directory demographics are accurate. Please periodically review your information in the current provider directory on Cigna.com and notify us of any changes.

Oncology drug dose rounding program: July 7 drug list update

(July 1, 2025) On January 1, 2025, Cigna Healthcare began an oncology drug dose rounding program to reduce drug waste for a variety of injectable oncology drugs while maintaining a therapeutic response. To optimize drug dosage, drugs included in the program are rounded down to the nearest vial size when the difference between the prescribed drug and vial size is within 5 to 10 percent.

Alternative pain management services and medications

(July 1, 2025) Massachusetts House Bill 5143 includes provisions for alternative treatments for pain management. We have identified possible alternative pain management services and medications that may be covered for your patients with Cigna Healthcare benefit plans issued in Massachusetts

New Reimbursement Policy for Professional Evaluation and Management Services Claims effective October 1, 2025

(July 1, 2025) On October 1, 2025, Cigna Healthcare will implement a new reimbursement policy, Evaluation and Management Coding Accuracy (R49), to review claims billed with CPT^® E/M codes 99204–99205, 99214–99215, and 99244–99245 for billing and coding accuracy in alignment with American Medical Association E/M services guidelines.