by Kristin Fleming | Sep 20, 2024 | Current
Link to PDF Status: Revised Effective Date: 03/17/2024 Doc ID: CAR06-0324.1-v3 Last Review Date: 09/07/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...
by Kristin Fleming | Aug 27, 2024 | Current
Link for PDF Status: Reaffirmed Effective Date: 12/30/2023 Doc ID: REH02-1223.1-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...
by Kristin Fleming | Aug 27, 2024 | Current
Link to PDF Status: Reaffirmed Effective Date: 11/17/2024 Doc ID: SUR01-1124.1-R0425 Last Review Date: 04/21/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...
by Kristin Fleming | Aug 27, 2024 | Current
Link to PDF Status: Reaffirmed Effective Date: 11/17/2024 Doc ID: RBM14-1124.1-R0425 Last Review Date: 04/21/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...
by Kristin Fleming | Sep 10, 2023 | Current
Link to PDF Status: Revised Effective Date: 09/10/2023 Doc ID: SDM01-0923.2 Last Review Date: 01/24/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...
