Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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ARCHIVED Sacroiliac Joint Fusion 2022-06-12 to 2022-09-10

Effective Date: 06/12/2022 Version Creation Date: 11/11/2021 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Carelon Specialty Health disclaims any responsibility for the completeness or...

ARCHIVED Imaging of the Heart 2022-01-01 to 2022-03-12

CLINICAL APPROPRIATENESS GUIDELINES ADVANCED IMAGING Appropriate Use Criteria: Imaging of the Heart EFFECTIVE JANUARY 1, 2022* ARCHIVED MARCH 13, 2022 for commercial, Medicare, and non-Anthem Medicaid This document has been archived because it has outdated...

ARCHIVED Proton Beam Therapy 2021-03-14 to 2022-03-12

CLINICAL APPROPRIATENESS GUIDELINES RADIATION ONCOLOGY Appropriate Use Criteria: Proton Beam Therapy EFFECTIVE MARCH 14, 2021 ARCHIVED MARCH 13, 2022 This document has been archived because it has outdated information. It is for historical information only and should...