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BCBS Arkansas Medical Policy Updates – June 2021
Click here to view the Blue Cross Blue Shield BCBS Arkansas Medical Policy Updates »
June 2021 BCBS Arkansas Medical Policy Updates:
- Afamelanotide (Scenesse™)
- Alglucosidase alfa (Lumizyme™)
- Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
- Covid-19 Monoclonal Antibody Therapy
- Crizanlizumab (Adakveo™)
- Denosumab (XGEVA™ and Prolia™)
- Genetic Test: Acute Myeloid Leukemia, (FLT3 and NPM1)
- Genetic Test: Amyotrophic Lateral Sclerosis
- Genetic Test: FMR 1 Mutations Including Fragile X Syndrome
- Immobilized lipase cartridge for enteral feedings (Relizorb)
- Intradialytic Parenteral Nutrition
- Irreversible Electroporation, Nanoknife
- Luspatercept-aamt (Reblozyl®)
- Obinutuzumab (Gazyva)
- Omalizumab (Xolair)
- Pemetrexed (Alimta)
- Pilot Policy: Stereotactic Body Radiotherapy (SBRT) for the Treatment of Prostate Cancer Within Clinical Trial NRG-GU005 Pilot Policy for the use of SBRT in the treatment of Prostate Cancer within an Established Clinical Trial NRG-GU005
- Preventive Services for Non-Grandfathered (PPACA) Plans Anemia, Screening in Infants, Children and Adolescents
- Preventive Services for Non-Grandfathered (PPACA) Plans Media use by Children &Adolescents,Screening & Counseling
- Preventive Services for Non-Grandfathered (PPACA) Plans: Bacteriuria Screening in Pregnant Women
- Preventive Services for Non-Grandfathered (PPACA) Plans: Breastfeeding Counseling
- Preventive Services for Non-Grandfathered (PPACA) Plans: Cardiometabolic Risks of Obesity in Children and Adolescents, Counseling
- Preventive Services for Non-Grandfathered (PPACA) Plans: Congenital/Inherited Metabolic Disorders & Hemoglobinopathy, Screening in Newborns
- Preventive Services for Non-Grandfathered (PPACA) Plans: Folic Acid for Prevention of Neural Tube Defects
- Preventive Services for Non-Grandfathered (PPACA) Plans: Gonorrhea Prophylaxis, Newborn Ophthalmic
- Preventive Services for Non-Grandfathered (PPACA) Plans: Hight Blood Pressure, Screening in Infants, Children and Adolescents
- Preventive Services for Non-Grandfathered (PPACA) Plans: Hypothyroidism Screening in Newborns
- Preventive Services for Non-Grandfathered (PPACA) Plans: Intimate Partner Violence : Screening in Women
- Preventive Services for Non-Grandfathered (PPACA) Plans: Iron Supplementation for Children
- Preventive Services for Non-Grandfathered (PPACA) Plans: Osteoporosis Screening in Women
- Preventive Services for Non-Grandfathered (PPACA) Plans: Overview
- Preventive Services for Non-Grandfathered (PPACA) Plans: Phenylketonuria Screening in Newborns
- Preventive Services for Non-Grandfathered (PPACA) Plans: Pregnancy Screening , Sexually Active Females without Contraception ,Late Menses or Amenorrhea
- Preventive Services for Non-Grandfathered (PPACA) Plans: Sexually Transmitted Infections (STIs), Behavioral Counseling for Prevention
- Preventive Services for Non-Grandfathered (PPACA) Plans: Type 2 Diabetes Mellitus Screening for Adults
- Preventive Services for Non-Grandfathered (PPACA) Plans: Well-Child Visits, Newborn, Infant, Children, Adoloscents & Ages 18-21
- Radiofrequency Treatment, Chronic Back Pain (Nucleoplasty)
- Romidepsin (ISTODAX)
- Tagraxofusp-erzs (Elzonris®)
- Trabectedin (Yondelis)
Additional June updates:
- Antiprothrombin Antibody
- Artificial Vertebral Disc, Cervical Spine
- Biomarker Panel Testing for Systemic Lupus Erythematosus
- Biventricular Pacemakers for the Treatment of Congestive Heart Failure
- Brachytherapy, Radioembolization of Primary & Metastatic Tumors of the Liver with Therapeutic Microspheres
- Certified Nurse Midwives
- Certified Nurse Practitioners
- Chemical Ecology (Environmental Illness, Multiple Chemical Sensitivities, Environmental Hypersensitivity Disorder, Total Allergy Syndrome)
- Chemotherapy for Malignancy
- Clinical Nurse Specialist
- Closure Devices for Atrial or Ventricular Septal Defects (ASD, VSD) or Patent Foramen Ovale (PFO), Percutaneous
- Percutaneous Arteriovenous Fistula (pAVF)
- Belimumab (Benlysta)
- Allograft Injection for Degenerative Disc Disease
- Ustekinumab (Stelara)
- Lumasiran (Oxlumo)
- Genetic Test: Gene Expression Profiling for Cutaneous Melanoma
- Desensitization Treatment for Peanut Allergies
- Tafamidis (Vyndamax)
- Genetic Test: Genotype-Guided Warfarin Dosing
- Covid-19 Monoclonal Antibody Therapy
- Dupilumab
- Femoroacetabular Impingement, Surgical Treatment of
- Genetic Test: Canavan Disease
- Genetic Test: Celiac Disease, HLA Typing (HLA-DQ)
- Genetic Test: CHARGE Syndrome
- Genetic Test: HLA-B*5701 Testing for Abacavir Hypersensitivity Reaction
- Genetic Test: JAK2 and MPL Mutation Testing for Myeloproliferative Disorders
- Genetic Test: Lactase Insufficiency (-13910 C>T)
- Genetic Test: Microarray-based Gene Expression Profile Analysis for Prostate Cancer Management
- Genetic Test: Miscellaneous Genetic and Molecular Diagnostic Tests
- Genetic Test: Rett Syndrome
- Genetic Test: Use of Common Genetic Variants (Single Nucleotide Polymorphisms) to Predict Risk of Nonfamilial Breast Cancer
- Hemodynamic Monitoring of Heart Failure, Management in the Outpatient Setting
- High Dose Chemotheraphy with Allogenic or Autologous Stem Cell and/or Progenitor Cell Support
- High Dose Chemotheraphy with Allogenic or Autologous Stem Cell and/or Progenitor Cell Support
- Home Apnea Monitors
- Isatuximab-irfc (Sarclisa®)
- Laser Treatment of Onychomycosis
- Left Atrial Appendage, Closure Device, Percutaneous
- Luspatercept-aamt (Reblozyl®)
- Measurement of Serum Antibodies to Infliximab and Adalimumab
- Metabolite Testing, Monitor Antimetabolite Therapy for Inflammatory Bowel & Collagen Vascular Disease, Acute Lymphoblastic Leukemia
- Microprocessor-Controlled Prostheses for the Lower Limb
- Molecular Testing in the Management of Pulmonary Nodules
- Obinutuzumab (Gazyva)
- Omalizumab (Xolair)
- Oophorectomy, Prophylactic
- Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
- Photodynamic Therapy for Ophthalmology
- Physician Assistants
- Preventive Services for Non-Grandfathered (PPACA) Plans: Serum Lipids Screening
- Rilonacept (Arcalyst)
- Romidepsin (ISTODAX)
- Sacral Nerve Stimulation for the Treatment of Fecal Incontinence
- Sacral Nerve Stimulation for the Treatment of Urge Urinary Incontinence
- Soft Tissue Substitutes, Orthobiologic Implant
- Tagraxofusp-erzs (Elzonris®)
- Transcatheter Pulmonary Valve Implantation
- Whole Gland Cryosurgical Ablation of Prostate Cancer
Click here to view the Blue Cross Blue Shield BCBS Arkansas Medical Policy Updates »
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