Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Pharmacogenetic Testing 2026-06-14 updated 2026-07-01

Link to PDF Status: Updated codes 07/01/2026 Effective Date: 06/14/2026 Doc ID: GEN09-0626.1-UC0726 Last Review Date: 10/09/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...

Prenatal Screening using Cell-free DNA 2026-09-19

Link to PDF Status: Revised Effective Date: 09/19/2026 Doc ID: GEN04-0926.1 Last Review Date: 01/29/2026 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...