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United Healthcare Medical Policy Updates – April 2018
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April 2018 Medical Policy Updates:
UPDATED
- Chelation Therapy for Non-Overload Conditions – Effective Apr. 1, 2018
- Cochlear Implants – Effective May 1, 2018
- Computerized Dynamic Posturography – Effective Apr. 1, 2018
- Deep Brain and Cortical Stimulation – Effective Apr. 1, 2018
- Embolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome – Effective Apr. 1, 2018
- Infertility Diagnosis and Treatment – Effective Jun. 1, 2018
- Thermography – Effective Apr. 1, 2018
REVISED
- Chromosome Microarray Testing (Non-Oncology Conditions) – Effective Jun. 1, 2018
- Cognitive Rehabilitation – Effective May 1, 2018
- Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation – Effective May 1, 2018
- Molecular Oncology Testing for Cancer Diagnosis, Prognosis, and Treatment Decisions – Effective Apr. 1, 2018
- Omnibus Codes – Effective May 1, 2018
RETIRED
- Thermal Capsulorrhaphy/Thermal Shrinkage Therapy – Effective Apr. 1, 2018
Medical Benefit Drug Policy Updates:
NEW
- Ketamine – Effective Apr. 1, 2018
- Trogarzo™ (Ibalizumab-Uiyk) – Effective Apr. 1, 2018
UPDATED
- Clotting Factors and Coagulant Blood Products – Effective Apr. 1, 2018
- Exondys 51™ (Eteplirsen) – Effective Apr. 1, 2018
- Infliximab (Remicade®, Inflectra™, Renflexis™) – Effective Apr. 1, 2018
- Rituxan® (Rituximab) – Effective Apr. 1, 2018
- Simponi Aria® (Golimumab) Injection for Intravenous Infusion – Effective Apr. 1, 2018
- Spinraza™ (Nusinersen) – Effective Apr. 1, 2018
- Stelara® (Ustekinumab) – Effective Apr. 1, 2018
- White Blood Cell Colony Stimulating Factors – Effective Apr. 1, 2018
REVISED
- 17-Alpha-Hydroxyprogesterone Caproate (Makena™ and 17P) – Effective Apr. 1, 2018
- Lemtrada (Alemtuzumab) – Effective Apr. 1, 2018
- Maximum Dosage – Effective Apr. 1, 2018
Coverage Determination Guideline (CDG) Updates:
UPDATED
- None
REVISED
- Infertility Services – Effective Jun. 1, 2018
Utilization Review Guideline (URG) Updates
UPDATED
- None
REVISED
- None
REVISED
- None
Click here to view the United Healthcare Medical Policy Updates »
Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.
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