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...

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...

Joint Surgery 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: MSK02-1125.1 Last Review Date: 04/21/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Genetic Testing for Inherited Conditions 2025-09-20

Link to PDF Status: Revised Effective Date: 09/20/2025 Doc ID: GEN06-0925.2 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...