Archived | Carelon Clinical Guidelines and Pathways

Archived

ARCHIVED Predictive and Prognostic Polygenic Testing 2024-10-20 (updated to 2024-12-31) — formerly Polygenic Risk Scores in Genetic Testing

ARCHIVED Prenatal Testing using Cell-free DNA 2023-02-12 to 2023-09-30

ARCHIVED Prenatal Testing using Cell-free DNA 2023-10-01 to 2023-11-04

ARCHIVED Prenatal Testing using Cell-free DNA 2023-11-05 to 2024-03-16

ARCHIVED Prenatal Testing using Cell-free DNA 2024-03-17 to 11-16 (updated 2024-10-01)

ARCHIVED Proton Beam Therapy 2021-03-14 to 2022-03-12

ARCHIVED Proton Beam Therapy 2022-03-13 to 2025-03-22

ARCHIVED Radiation Therapy (excludes Proton) 2021-03-14 to 2021-11-06

ARCHIVED Radiation Therapy (excludes Proton) 2021-11-07 to 2022-03-12

ARCHIVED Radiation Therapy (excludes Proton) 2022-03-13 to 2022-11-05, 2023-04-08, and 2023-06-17

ARCHIVED Radiation Therapy (excludes Proton) 2022-11-06 to 2023-04-08 for commercial/Medicare/non-Anthem Medicaid

ARCHIVED Radiation Therapy (excludes Proton) 2023-04-09 to 2024-04-13

ARCHIVED Radiation Therapy (excludes Proton) 2024-04-14 to 2024-10-19

ARCHIVED Radiation Therapy (excludes Proton) 2024-10-20 to 2025-03-22

ARCHIVED Reproductive Carrier Screening and Prenatal Diagnosis 2020-03-03 to 2020-08-31

ARCHIVED Reproductive Carrier Screening and Prenatal Diagnosis 2020-09-01 to 2021-01-03

ARCHIVED Reproductive Carrier Screening and Prenatal Diagnosis 2021-01-04 to 2021-03-07

ARCHIVED Reproductive Carrier Screening and Prenatal Diagnosis 2021-03-08 to 2021-09-05

ARCHIVED Reproductive Carrier Screening and Prenatal Diagnosis 2021-09-06 to 2022-03-05

ARCHIVED Reproductive Carrier Screening and Prenatal Diagnosis 2022-03-06 to 2022-09-03

ARCHIVED Reproductive Carrier Screening and Prenatal Diagnosis 2022-09-04 to 2023-03-12

ARCHIVED Sacroiliac Joint Fusion 2019-03-09 to 2021-09-11

ARCHIVED Sacroiliac Joint Fusion 2021-09-12 to 2022-06-11

ARCHIVED Sacroiliac Joint Fusion 2021-09-12 to 2022-06-11 and 2022-09-10

ARCHIVED Sacroiliac Joint Fusion 2021-09-12 to 2023-03-31 for Indiana Medicaid

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