by dlamm | Sep 10, 2023 | Archived
CLICK HERE FOR PDF VERSION Status: Revised Effective Date: 09/10/2023 Doc ID: MSK03-0923.2 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...
by dlamm | Aug 17, 2023 | Current
Link to PDF Status: Reaffirmed Effective Date: 11/07/2021 Doc ID: RAD04-1121.1-R0723 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...
by dlamm | Aug 17, 2023 | Current
Link to PDF Status: Reaffirmed Effective Date: 03/13/2022 Doc ID: RAD01-0322.1-R0723 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...
by dlamm | Aug 17, 2023 | Current
Link to PDF Status: Reaffirmed Effective Date: 11/06/2022 Doc ID: RAD03-1122.2-R0723 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...
by dlamm | Jun 18, 2023 | Current
Link to PDF Status: Reaffirmed/Updated Effective Date: 06/18/2023 Doc ID: CAR04-0623.2-R0723-U0124 Last Review Date: 07/18/2023, 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more...
