Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Pharmacogenomic Testing 2025-07-26

Link to PDF Status: Revised Effective Date: 07/26/2025 Doc ID: GEN09-0725.1 Last Review Date: 10/28/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Whole Exome and Whole Genome Sequencing 2025-07-26

Link to PDF Status: Revised Effective Date: 07/26/2025 Doc ID: GEN08-0725.1 Last Review Date: 10/28/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Chromosomal Microarray Analysis 2025-07-26

Link to PDF Status: Revised Effective Date: 07/26/2025 Doc ID: GEN07-0725.1 Last Review Date: 10/28/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Interventional Pain Management 2025-07-26

Link to PDF Status: Revised Effective Date: 07/26/2025 Doc ID: MSK01-0725.1 Last Review Date: 10/28/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Hereditary Cancer Testing 2025-03-23

Link to PDF Status: Revised Effective Date: 03/23/2025 Doc ID: GEN01-0325.1 Last Review Date: 01/30/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...