View Medical Policies

Showing 21– 40 of 274 Results
Title Last Updated Category
Foot Care and Treatment of Mycotic Nails Open a PDF 2.01.35 2022-09-13 Feet (Podiatry)
Erectile Dysfunction Open a PDF 7.01.30 2022-09-13 Urinary System (Genitourinary)
Disability Determination For Extension of Benefits After Coverage Termination Open a PDF 10.01.11 2022-09-13 Miscellaneous
Colorectal Cancer Screening Open a PDF 2.01.51 2022-09-13 Digestive System (Gastroenterology)
Cardiac Resynchronization Therapy (Biventricular Pacemakers) for the Treatment of Heart Failure Open a PDF 7.01.58 2022-09-13 Heart & Blood Vessels (Cardiovascular)
Breast Reconstruction Surgery Open a PDF 10.01.01 2022-09-13 Cosmetic / Reconstructive Surgery
Bone Densitometry/Bone Density Studies Open a PDF 6-01-05 2022-09-13 Radiology (x-rays) & Imaging
Bioengineered Tissue Products for Wound Treatment and Surgical Interventions Open a PDF 7.01.35 2022-09-01 Skin (Dermatology)
Bioengineered Tissue Products for Wound Treatment and Surgical Interventions (Effective 2022-10-15) Open a PDF 7.01.35 2022-09-01 Skin (Dermatology)
Gender Reassignment/Gender Affirming Surgery and Treatments for Medicaid Managed Care Plan (MMCP) and Health and Recovery Plan (HARP) Members Open a PDF 7.01.105 2022-09-01 Miscellaneous
Immunizations Open a PDF 2.01.42 2022-08-30 Vaccines (Immunizations)
Airway Clearance Devices: Oscillatory Devices (e.g., High frequency Chest Wall Compression, Flutter valve, Intrapulmonary Percussive Ventilator), Mechanical Percussors and Assisted Cough and Mechanical Insufflation Devices (e.g., In-Exsufflator) Open a PDF 1.01.15 2022-08-30 Lungs (Respiratory)
Spinal Cord Stimulation/Dorsal Column Stimulation Open a PDF 7.01.51 2022-08-23 Bone & Joints (Orthopedic)
Drug-Eluting Sinus Stents and Nasal Implants Open a PDF 7.01.99 2022-08-23 Ear, Nose & Throat (Otorhinolaryngology)
Radiofrequency Facet and Sacroiliac Joint Ablation/Denervation Open a PDF 7.01.42 2022-08-23 Bone & Joints (Orthopedic)
Lumbar Fusion for Adults Open a PDF 7.01.90 2022-08-23 Bone & Joints (Orthopedic)
Flow Cytometry Open a PDF 2.02.57 2022-08-18 Lab Tests (pathology)
Whole Exome and Whole Genome Sequencing for the Diagnosis of Genetic Disorders Open a PDF 2.02.46 2022-08-18 Genetic Disease (Inherited Disease)
Vagus Nerve Stimulation and Vagus Nerve Blocking Therapy Open a PDF 7.01.05 2022-08-18 Nervous Systems (Neurology)
Urinary Tumor Markers for Bladder Cancer Open a PDF 2.02.12 2022-08-18 Lab Tests (pathology)
Showing 21– 40 of 274 Results
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