Medical Policies

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Showing 151– 200 of 341 Results
Title Last Updated Category
Medical Response to Contamination from Terrorist Attacks Open a PDF 11.01.09 2026-08-25 Miscellaneous
Medical Management Obstructive Sleep Apnea (OSA) Open a PDF 1.01.07 2025-11-14 Lungs (Respiratory)
Measurable Residual Disease (MRD) Assessment Testing Open a PDF 2.02.54 2026-08-25 Lab Tests (pathology)
MAZE Procedures for Atrial Fibrillation and Flutter Open a PDF 7.01.27 2026-06-25 Heart & Blood Vessels (Cardiovascular)
Management of Dry Eye Syndrome and Meibomian Gland Dysfunction (e.g., LipiFlow) Open a PDF 9.01.19 2025-12-23 Eyes (Ophthalmology)
Magnetic Sphincter Augmentation for the Treatment of Gastroesophageal Reflux Disease (GERD) (Effective 2026-10-15) Open a PDF 7.01.89 2026-07-15 Digestive System (Gastroenterology)
Magnetic Sphincter Augmentation for the Treatment of Gastroesophageal Reflux Disease (GERD) Open a PDF 7.01.89 2026-07-15 Digestive System (Gastroenterology)
Magnetic Resonance Spectroscopy (MRS) Open a PDF 6.01.03 2026-02-13 Radiology (x-rays) & Imaging
Magnetic Resonance Imaging (MRI) of the Prostate (Effective 2026-10-15) Open a PDF 6.01.46 2026-07-15 Radiology (x-rays) & Imaging
Magnetic Resonance Imaging (MRI) of the Prostate Open a PDF 6.01.46 2026-07-15 Radiology (x-rays) & Imaging
Lysis of Epidural Adhesions (Effective 2026-10-15) Open a PDF 7.01.73 2026-07-15 Bone & Joints (Orthopedic)
Lysis of Epidural Adhesions Open a PDF 7.01.73 2026-07-15 Bone & Joints (Orthopedic)
Lung and Lobar Lung Transplant Open a PDF 7.02.10 2026-04-20 Transplants
Lumbar Microdiscectomy (Effective 2026-10-15) Open a PDF 7.01.98 2026-07-15 Bone & Joints (Orthopedic)
Lumbar Microdiscectomy Open a PDF 7.01.98 2026-07-15 Bone & Joints (Orthopedic)
Lumbar Fusion (Effective 2026-10-15) Open a PDF 7.01.117 2026-07-15 Bone & Joints (Orthopedic)
Lumbar Fusion Open a PDF 7.01.117 2026-07-15 Bone & Joints (Orthopedic)
Lumbar Decompression (Effective 2026-10-15) Open a PDF 7.01.113 2026-07-15 Bone & Joints (Orthopedic)
Lumbar Decompression Open a PDF 7.01.113 2026-07-15 Bone & Joints (Orthopedic)
Liver Transplantation Open a PDF 7.02.07 2025-11-25 Transplants
Limb Pneumatic Compression Devices for Venous Thromboembolism Prophylaxis Open a PDF 1.01.51 2026-09-21 Durable Medical Equipment & Supplies
Light and Laser Therapies for Dermatologic Conditions Open a PDF 8.01.21 2025-10-22 Skin (Dermatology)
Level of Care Criteria for Inpatient, Residential, Partial Hospital, and Intensive Outpatient Mental Health Services for Adults and Children Open a PDF 3.01.21 2026-04-20 Behavioral Health (Psychiatry/Psychology)
Left Atrial Appendage Closure Devices Open a PDF 7.01.92 2026-09-21 Heart & Blood Vessels (Cardiovascular)
Laboratory Testing for Transplantation Rejection Open a PDF 2.02.55 2026-07-21 Lab Tests (pathology)
Laboratory Testing for the Screening and Management of Prostate Cancer Open a PDF 2.02.48 2026-09-21 Genetic Disease (Inherited Disease)
Lab Testing for Alzheimer’s Disease Open a PDF 2.02.16 2026-06-25 Genetic Disease (Inherited Disease)
Kidney Transplantation Open a PDF 7.02.04 2026-04-20 Transplants
JAK2, MPL, and CALR Testing for Myeloproliferative Neoplasms Open a PDF 2.02.53 2026-03-24 Lab Tests (pathology)
Intraosseous Basivertebral Nerve Ablation for Child Health Plus (CHP), and Essential Plan (EP) Members (Effective 2027-01-01) Open a PDF 7.01.124 2026-10-05 Bone & Joints (Orthopedic)
Showing 151– 200 of 341 Results

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