Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

Home 9 Author archive for dlamm

Hereditary Cancer Testing 2026-04-04

Link to PDF Status: Revised Effective Date: 04/04/2026 Doc ID: GEN01-0426.1 Last Review Date: 07/17/2025 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 [updated 2026-01-01]

Link to PDF Status: Updated codes 01/01/2026 Effective Date: 03/23/2025 Doc ID: GEN01-0325.1-UC0126 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...

Spine Surgery 2025-11-15 [updated 2026-01-01]

Link to PDF Status: Updated codes 01/01/2026 Effective Date: 11/15/2025 Doc ID: MSK03-1125.1-UC0126 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...