Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Proton Beam Therapy 2025-03-23

Link to PDF Status: Reaffirmed Effective Date:03/23/2025 Doc ID: RAD01-0325.1-R0725 Last Review Date: 07/17/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Radiation Therapy (excludes Proton) 2025-03-23

Link to PDF Status: Revised Effective Date: 03/23/2025 Doc ID: RAD02-0325.1 Last Review Date: 07/16/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Therapeutic Radiopharmaceuticals 2025-03-23

Link to PDF Status: Revised Effective Date: 03/23/2025 Doc ID: RAD03-0325.1 Last Review Date: 07/16/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Oncologic Imaging 2025-03-23 [for Regence-only to 1/1/26]

Link to PDF Status: Revised Effective Date: 03/23/2025 Doc ID: RBM07-0325.1 Last Review Date:07/16/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Imaging of the Chest 2025-03-23

Link to PDF Status: Revised Effective Date: 03/23/2025 Doc ID: RBM02-0325.1 Last Review Date: 07/16/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...