Current | Carelon Clinical Guidelines and Pathways

Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Current

Imaging of the Chest 2023-04-09 [for Healthy Blue Louisiana Medicaid]

Imaging of the Chest 2024-04-14 [for Simply Healthcare Florida Medicaid and Regence]

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

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 2024-01-01 [for Healthy Blue Louisiana Medicaid]

Imaging of the Heart 2024-10-20

Imaging of the Spine 2023-09-10 [for Healthy Blue Louisiana Medicaid]

Imaging of the Spine 2024-10-20

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

Joint Surgery 2022-09-11 [for Healthy Blue Louisiana Medicaid]

Joint Surgery 2024-11-17 updated 2025-01-01

Level of Care for Musculoskeletal Surgery 2024-01-01

Long-Term Acute Care Hospital Level of Care 2024-09-01

Nuclear Medicine Imaging 2023-09-10

Oncologic Imaging 2023-04-09 [for Healthy Blue Louisiana Medicaid]

Oncologic Imaging 2024-04-14 [for Simply Healthcare Florida Medicaid, Healthy Blue Ohio Medicaid, and Regence]

Oncologic Imaging 2025-03-23

Percutaneous Coronary Intervention 2023-06-18 [for Healthy Blue Louisiana Medicaid]

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