Current | Carelon Clinical Guidelines and Pathways

Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Current

Upper Gastrointestinal Endoscopy (Esophagogastroduodenoscopy) 2024-11-01

Vascular Embolization and Occlusion Procedures 2024-11-01

Vascular Imaging 2023-09-10 [for Healthy Blue Louisiana Medicaid]

Vascular Imaging 2024-10-20 [for Anthem BCBS Ohio Medicaid (and Regence-only to 1/1/26)]

Vascular Imaging 2025-11-15

Wearable Cardioverter Defibrillators 2024-07-01

Whole Exome Sequencing and Whole Genome Sequencing 2025-07-26 updated 10-01

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