Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Predictive and Prognostic Polygenic Testing 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: GEN10-1024.2 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...

Small Joint Surgery 2024-01-01 for Louisiana Medicaid

Link to PDF Status: Updated Effective Date: 01/01/2024 Doc ID: MSK06-0124.1 Last Review Date: 04/12/2023 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...

ARCHIVED Sleep Disorder Management 2023-09-10 to 2024-10-19

Link to PDF Archive Date: 10/20/2024 for all lines of business except Louisiana Medicaid This document has been archived because it has outdated information. It is for historical information only and should not be consulted for clinical use. Current versions of...

ARCHIVED Somatic Tumor Testing 2024-10-20 to 2024-11-16

Link to PDF Archive Date: 11/17/2024 This document has been archived because it has outdated information. It is for historical information only and should not be consulted for clinical use. Current versions of guidelines are available on the Carelon Medical Benefits...