Medical and Payment Policies

Note: Search functionality is limited to policy title

Sorry we didn't find anything that matched your search.

Draft Medical and Payment Policies
Total Joint Arthroplasty – Hip and Knee Effective 12/01/2022
Tumor-Informed Circulating Tumor DNA Testing for Cancer Management
Medical
Therapeutic Shoes for Diabetics Mandate
Thermal Capsulorrhaphy as a Treatment of Joint Instability
Thoracic Lumbo Sacral Orthosis with Pneumatics
Topographic Brain Mapping
Transanal Radiofrequency Treatment of Fecal Incontinence
Transcutaneous Electrical Nerve Stimulation
Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease
Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
Payment
Telemedicine/Telephone Services for Commercial Products - Effective 8/3/2022
Telemedicine/Telephone Services for Medicare Advantage Plans during the Public Health Emergency (PHE) - Effective 8/3/2022
TEMPORARY Cost Share Waiver for Treatment of Confirmed Cases of COVID- 19 Effective 4/1/20
TEMPORARY COVID-19 Diagnostic Testing
TEMPORARY COVID-19 Pediatric Vaccination Preventative Medicine Counseling Services for Commercial Members
TEMPORARY Encounter for Determination of Need for COVID-19 Diagnostic Testing Effective 3/18/20
Termination of Pregnancy
Therapeutic Eyeglasses and Contact Lenses
Timely Filing Limit
Transitional Care, Chronic Care and Complex Chronic Care Management
Transplants- Travel and Accommodations for Medicare Advantage Plans
Prior Authorization
Transcatheter Mitral Valve Repair
Transcranial Magnetic Stimulation
Transurethral Water Vapor Thermal Therapy and Transurethral Water Jet Ablation (Aquablation) for Benign Prostatic Hyperplasia
Treatment for Duchenne Dystrophy Effective 11/01/2022 (formerly known as Exondys (eteplirsen) and Vyondys (golodirsen) for Duchenne Muscular Dystrophy)
Tumor Treating Fields Therapy