by dlamm | Nov 6, 2022 | Archived
Link to PDF CLINICAL APPROPRIATENESS GUIDELINES RADIATION ONCOLOGY Appropriate Use Criteria: Brachytherapy, Intensity Modulated Radiation Therapy, Stereotactic Body Radiation Therapy, and Stereotactic Radiosurgery EFFECTIVE MARCH 13, 2022 ARCHIVED 11-06-2022 for...
by dlamm | Nov 6, 2022 | Archived
CLICK HERE TO ACCESS PDF VERSION Status: Revised Effective Date: 11/06/2022 Doc ID: MSK01-1122.2 Last Review Date: 05/09/2022 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...
by dlamm | Sep 11, 2022 | Archived
Link to PDF Archive Date: 09/10/2023 This document has been archived because it has outdated information.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...
by dlamm | Sep 11, 2022 | Archived
CLINICAL APPROPRIATENESS GUIDELINES SLEEP DISORDER MANAGEMENT Appropriate Use Criteria: Diagnostic and Treatment Management ARCHIVED APRIL 1, 2023 for Indiana Medicaid ARCHIVED SEPTEMBER 11, 2022 for commercial, Medicare, and Medicaid (except Indiana Medicaid) This...