Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Imaging of the Spine 2023-09-10 for Louisiana Medicaid

Link to PDF Status: Revised/Updated Effective Date: 09/10/2023 Doc ID: RBM05-0923.1-U0124 Last Review Date: 01/23/2024, 01/24/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details....

Nuclear Medicine Imaging 2023-09-10

Link to PDF Status: Reaffirmed/Updated Effective Date: 09/10/2023 Doc ID: RBM09-0923.2-RU0124 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...

Vascular Imaging 2023-09-10 for Louisiana Medicaid

Link to PDF Status: Revised/Updated Effective Date: 09/10/2023 Doc ID: RBM08-0923.1-U0124 Last Review Date: 01/23/2024, 01/24/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details....

SPECT Imaging 2023-09-10 for Louisiana Medicaid

Link to PDF Status: Revised Effective Date: 09/10/2023 Doc ID: RBM10-0923.1 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...