Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

Home 9 Author archive for dlamm

Endovascular Revascularization 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: CAR07-1024.1 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Permanent Implantable Pacemakers 2024-03-17

Link to PDF Status: Revised Effective Date: 03/17/2024 Doc ID: CAR08-0324.1 Last Review Date: 07/18/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Pharmacogenomic Testing 2023-02-12 updated 2024-07-01

Link to PDF Status: Updated codes 07/01/2024 Effective Date: 02/12/2023 Doc ID: GEN09-0223.1-UC0724 Last Review Date: 08/29/2022 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...

Somatic Tumor Testing 2024-03-17 updated 2024-07-01

Link to PDF Status: Updated Codes 07/01/2024 Effective Date: 03/17/2024 Doc ID: GEN02-0324.2-UC0724 Last Review Date: 07/18/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...