Clinical guidelines and pathways
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Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways
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Imaging of the Brain 2024-10-20 [for Anthem BCBS Ohio Medicaid (and Regence-only to 1/1/26)]
Imaging of the Brain 2025-11-15
Imaging of the Chest 2023-04-09 [for Healthy Blue Louisiana Medicaid]
Imaging of the Chest 2024-04-14 [for Simply Healthcare Florida Medicaid]
Imaging of the Chest 2025-03-23
Imaging of the Extremities 2023-09-10 [for Healthy Blue Louisiana Medicaid]
Imaging of the Extremities 2024-10-20 [for Anthem BCBS Ohio Medicaid (and Regence-only to 1/1/26)]
Imaging of the Extremities 2025-11-15
Imaging of the Head and Neck 2023-04-09 [for Healthy Blue Louisiana Medicaid]
Imaging of the Head and Neck 2024-04-14
Imaging of the Heart 2023-04-09 [for Healthy Blue Louisiana Medicaid]
Imaging of the Heart 2024-10-20 [for Anthem BCBS Ohio Medicaid (and Regence-only to 12/1/25)]
Imaging of the Heart 2025-11-15
Imaging of the Spine 2023-09-10 [for Healthy Blue Louisiana Medicaid]
Imaging of the Spine 2024-10-20 [for Anthem BCBS Ohio Medicaid (and Regence-only to 1/1/26)]
Imaging of the Spine 2025-11-15
Implantable Cardioverter Defibrillators 2024-03-17 [for Healthy Blue Louisiana Medicaid]
Implantable Cardioverter Defibrillators 2024-11-17
Inpatient Rehabilitation Facility Level of Care 2024-09-01
Interventional Pain Management 2024-01-01 [for Healthy Blue Louisiana Medicaid]
Interventional Pain Management 2024-06-30 [for Anthem BCBS Ohio Medicaid]
Interventional Pain Management 2025-07-26
Joint Surgery 2022-09-11 [for Healthy Blue Louisiana Medicaid]
Joint Surgery 2024-11-17 updated 2025-01-01 [for Anthem BCBS Ohio Medicaid]
Joint Surgery 2025-11-15
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