Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Level of Care for Musculoskeletal Surgery 2024-01-01

Link to PDF Status: Reaffirmed Effective Date: 01/01/2024 Doc ID: MSK04-0124.1-R0424 Last Review Date: 04/15/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Prenatal Screening using Cell-free DNA 2024-11-17

Link to PDF Status: Revised Effective Date: 11/17/2024 Doc ID: GEN04-1124.2 Last Review Date: 04/15/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Somatic Tumor Testing 2024-11-17

Link to PDF Status: Revised Effective Date: 11/17/2024 Doc ID: GEN02-1124.4 Last Review Date: 07/16/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...