Current | Carelon Clinical Guidelines and Pathways

Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Current

Ambulatory Cardiac Rhythm Monitoring 2024-07-01

Cardiac Resynchronization Therapy 2024-03-17 for Louisiana Medicaid

Cardiac Resynchronization Therapy 2024-10-20

Carrier Screening in the Reproductive Setting 2024-06-30

Catheter-Based Closure of Patent Foramen Ovale 2024-11-01

Cell-free DNA Testing (Liquid Biopsy) for the Management of Cancer 2024-11-17

Chromosomal Microarray Analysis 2024-10-20

Diagnostic Coronary Angiography 2023-04-01 updated 2024-04-01 for Louisiana Medicaid

Diagnostic Coronary Angiography 2023-04-01 updated 2024-11-17

Dialysis Access Evaluations 2024-11-01

Electrophysiological Studies 2024-07-01

Endovascular Revascularization 2023-06-18 for Louisiana Medicaid

Endovascular Revascularization 2024-10-20

Febrile Neutropenia Risk 2024-02-01

For Medicare beneficiaries enrolled in a Medicare Advantage plan

Genetic Testing for Inherited Conditions 2024-06-30 updated 10-01

Hereditary Cancer Testing 2024-06-30 updated 10-01

Imaging of the Abdomen and Pelvis 2023-04-09 for Louisiana Medicaid

Imaging of the Abdomen and Pelvis 2024-04-14

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

Imaging of the Brain 2024-10-20

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

Imaging of the Chest 2024-04-14

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

Imaging of the Extremities 2024-10-20

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