Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Imaging of the Brain 2023-04-09 for Louisiana Medicaid

Link to PDF Status: Revised/Updated Effective Date: 04/09/2023 Doc ID: RBM06-0423.1-U0124 Last Review Date: 01/23/2024, 05/09/2022 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details....

Oncologic Imaging 2023-04-09 for Louisiana Medicaid

Link to PDF Status: Revised/Updated Effective Date: 04/09/2023 Doc ID: RBM07-0423.1-U0124 Last Review Date: 01/23/2024, 05/09/2022 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details....

Low-field MRI 2021-01-01

Link to PDF Carelon Status: Created Effective Date: 01/01/2021 Doc ID: RBM13-300-0121.1 Last Review Date: 03/25/2019 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...

MR-guided Procedures 2021-01-01

Link to PDF Carelon Status: Created Effective Date: 01/01/2021 Doc ID: RBM11-300-0121.1 Last Review Date: 07/08/2020 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...