Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Small Joint Surgery 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: MSK06-1125.1 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...

Pharmacogenetic Testing 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: GEN09-1125.2 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...

Spine Surgery 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: MSK03-1125.1 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...

ARCHIVED Somatic Tumor Testing 2025-10-05 to 2025-11-15

Link to PDF Status: Revised Effective Date: 10/05/2025 Doc ID: GEN02-1025.2 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...