Current | Carelon Clinical Guidelines and Pathways

Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Current

Predictive and Prognostic Polygenic Testing 2024-10-20

Prenatal Screening using Cell-free DNA 2024-11-17

Proton Beam Therapy 2022-03-13

Radiation Therapy (excludes Proton) 2023-04-09 for Louisiana Medicaid

Radiation Therapy (excludes Proton) 2024-10-20

Sacroiliac Joint Fusion 2024-01-01 for Louisiana Medicaid

Sacroiliac Joint Fusion 2024-10-20

Site of Care for Advanced Imaging 2024-11-17

Site of Care for Physical, Occupational, and Speech Therapies 2023-12-30

Site of Care for Surgical Procedures 2024-11-17

Skilled Nursing Facility Level of Care 2024-09-01

Sleep Disorder Management 2023-09-10 for Louisiana Medicaid

Sleep Disorder Management 2024-10-20

Small Joint Surgery 2024-01-01 for Louisiana Medicaid

Small Joint Surgery 2024-11-17

Somatic Tumor Testing 2024-11-17

SPECT Imaging 2023-09-10 for Louisiana Medicaid

SPECT Imaging 2024-10-20

Spine Surgery 2024-01-01 for Louisiana Medicaid

Spine Surgery 2024-10-20

Therapeutic Radiopharmaceuticals 2022-11-06

Transcatheter Ablation for Management of Atrial Fibrillation 2024-07-01

Transcatheter Ablation for Management of Supraventricular and Ventricular Arrhythmias 2024-07-01

Upper Gastrointestinal Endoscopy (Esophagogastroduodenoscopy) 2024-11-01

Vascular Embolization and Occlusion Procedures 2024-11-01

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