Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

Home 9 Author archive for dlamm ( Page 5 )

Level of Care for Musculoskeletal Surgery 2024-01-01

by | Sep 4, 2024 | Current

Link to PDF Status: Reaffirmed Effective Date: 01/01/2024 Doc ID: MSK04-0124.1-R0424 Last Review Date: 04/15/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Inpatient Rehabilitation Facility Level of Care 2024-09-01

by | Aug 19, 2024 | Current

Link to PDF Status: Revised Effective Date: 09/01/2024 Doc ID: PAC02-0924.1 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Skilled Nursing Facility Level of Care 2024-09-01

by | Aug 15, 2024 | Current

Link to PDF Status: Revised Effective Date: 09/01/2024 Doc ID: PAC01-0924.1 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Long-Term Acute Care Hospital Level of Care 2024-09-01

by | Aug 15, 2024 | Current

Link to PDF Status: Revised Effective Date: 09/01/2024 Doc ID: PAC03-0924.1 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

PAC Skilled Nursing Facility 2024-09-01 block test

by | Aug 9, 2024 | Uncategorized

Status: Revised Effective Date: 09/012024 Doc ID: PAC01-0924.1 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness Guidelines Post-Acute...