Medical Policies

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Showing 1– 50 of 341 Results
Title Last Updated Category
Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic Disorders Open a PDF 2.02.46 2026-09-21 Genetic Disease (Inherited Disease)
Wheelchairs and Power Operated Vehicles (POVs) Open a PDF 1.01.16 2026-08-25 Durable Medical Equipment & Supplies
Vitrectomy Chair/ Face-Down Positioning System Open a PDF 1.01.52 2026-04-20 Durable Medical Equipment & Supplies
Vision Therapy Open a PDF 9.01.04 2025-11-25 Eyes (Ophthalmology)
Ventricular Assist Device (VAD) and Total Artificial Heart (TAH) Open a PDF 7.01.114 2026-03-24 Heart & Blood Vessels (Cardiovascular)
Varicose Vein Treatments Open a PDF 7.01.47 2025-10-22 Cosmetic / Reconstructive Surgery
Vagus Nerve Stimulation and Vagus Nerve Blocking Therapy Open a PDF 7.01.05 2026-08-25 Nervous Systems (Neurology)
Urine Drug Testing Open a PDF 2.02.50 2025-12-29 Lab Tests (pathology)
Urinary Tumor Markers for Bladder and Urothelial Cancers Open a PDF 2.02.12 2026-07-21 Lab Tests (pathology)
Tumor-Treatment Fields Therapy Open a PDF 6.01.45 2026-04-20 Cancer Treatment (Oncology)
Treatment of Gambling Disorder and Other Repetitive Behaviors Open a PDF 3.01.19 2026-02-23 Behavioral Health (Psychiatry/Psychology)
Transendoscopic Therapies for Gastroesophageal Reflux Disease (GERD) Open a PDF 7.01.45 2026-03-24 Digestive System (Gastroenterology)
Transcranial Magnetic Stimulation and Cranial Electrotherapy Stimulation Open a PDF 3.01.09 2026-09-17 Behavioral Health (Psychiatry/Psychology)
Transcatheter Heart Valve Procedures Open a PDF 7.01.109 2026-05-27 Heart & Blood Vessels (Cardiovascular)
Total Parenteral Nutrition (TPN) or Hyperalimentation Open a PDF 11.01.04 2026-02-23 Food (Nutrition)
Tibial Nerve Stimulation (TNS) for Voiding Dysfunction Open a PDF 8.01.22 2026-04-20 Nervous Systems (Neurology)
Thermal Ablation for Solid Tumor Treatment Open a PDF 7.01.111 2026-08-25 Cancer Treatment (Oncology)
Therapies (Speech, Physical and Occupational) Open a PDF 8.01.24 2025-11-25 Therapy & Rehabilitation
Testing for the Use of Biologic Therapeutics for the Treatment of Inflammatory Disorders Open a PDF 2.02.47 2025-11-25 Lab Tests (pathology)
Temporomandibular Joint Disorders (TMJD) Open a PDF 11.01.17 2026-02-13 Bone & Joints (Orthopedic)
Surgical Management of Sleep Disorders Open a PDF 7.01.41 2026-01-27 Sleep Medicine
Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy Open a PDF 6.01.12 2025-11-14 Radiation Treatment
Standing Devices and Gait Trainers Open a PDF 1.01.46 2026-02-23 Durable Medical Equipment & Supplies
Spine Procedures for Managed Medicaid (MMC), Health and Recovery Plan (HARP), Child Health Plus (CHP), and Essential Plan (EP) Members (Effective 2027-01-01) Open a PDF 7.01.126 2026-10-05 Bone & Joints (Orthopedic)
Spinal Cord Stimulation / Dorsal Column Stimulation (Effective 2026-10-15) Open a PDF 7.01.51 2026-07-15 Bone & Joints (Orthopedic)
Spinal Cord Stimulation / Dorsal Column Stimulation Open a PDF 7.01.51 2026-07-15 Bone & Joints (Orthopedic)
Specialty Enclosure Bed Systems Open a PDF 1.01.56 2026-02-13 Durable Medical Equipment & Supplies
Specialized Neuromodulation for Specific Conditions Open a PDF 1.01.62 2026-08-24 Durable Medical Equipment & Supplies
Small Bowel and Multivisceral Transplants in Adults and Children Open a PDF 7.02.05 2026-03-24 Transplants
Sleep Studies Open a PDF 2.01.28 2026-01-27 Sleep Medicine
Showing 1– 50 of 341 Results

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