Clinical guidelines and pathways
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Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways
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Lung Cancer, Small Cell
Lymphoma (CLL, SLL)
Lymphoma (DLBCL)
Lymphoma (Follicular & MZL)
Lymphoma (Hodgkin)
Lymphoma (Mantle Cell)
Myeloma
Nuclear Medicine Imaging 2023-09-10
Oncologic Imaging 2025-11-15 [for Amerigroup Georgia Medicaid and Regence]
Oncologic Imaging 2026-04-04
Percutaneous Coronary Intervention 2024-10-20 [updated 2026-01-01]
Perirectal Hydrogel Spacer for Prostate Radiotherapy 2026-04-04
Permanent Implantable Pacemakers 2024-10-20
Pharmacogenetic Testing 2025-11-15 updated 2026-01-01
Pharmacogenomic Testing 2025-07-26 [for Anthem BCBS Ohio Medicaid]
Physical Therapy, Occupational Therapy, and Speech Therapy 2024-04-14
Predictive and Prognostic Polygenic Testing 2024-10-20 updated 2026-01-01
Prenatal Screening using Cell-free DNA 2025-09-20
Proton Beam Therapy 2025-03-23
Radiation Therapy (excludes Proton) 2026-04-04
Radiation Therapy for Non-Malignant Disease 2026-04-04
Sacroiliac Joint Fusion 2024-10-20 updated 2025-01-01 [for Anthem BCBS Ohio Medicaid]
Sacroiliac Joint Fusion 2025-11-15 updated 2026-01-01
Site of Care for Advanced Imaging 2024-11-17
Site of Care for Physical, Occupational, and Speech Therapies 2023-12-30
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