BCBS Arkansas Medical Policy Updates – September 2022

Click here to view the Blue Cross Blue Shield BCBS Arkansas Medical Policy Updates »

September 2022 BCBS Arkansas Medical Policy Updates:

• Air Ambulance
• Biomarker Test (Vectra™ DA) for Monitoring Disease Activity in Rheumatoid Arthritis
• Blepharoplasty/Blepharoptosis
• Bone Markers (Collagen Crosslinks as Biological Markers of Bone Turnover)
• Cardiac Event Recorder, External Loop or Continuous Recorder
• Cognitive Rehabilitation
• EKG, Signal Averaged
• Electrical Stimulation, Baroreflex Stimulation for the Treatment of Hypertension
• Electrical Stimulation, Percutaneous Electrical Nerve Stimulation (PENS) or Percutaneous Neuromodulation Therapy (PNT)
• Evinacumab-dgnb (Evkeeza)
• Fam-trastuzumab deruxtecan-nxki (Enhertu®)
• Functional Intracellular Analysis
• Gastric Neurostimulation for Morbid Obesity
• Gemtuzumab Ozogamicin (Mylotarg™)
• Gene Therapy for Inherited Retinal Dystrophy-Voretigene (Luxturna)
• Genetic Test: Alzheimer’s Disease
• Genetic Test: Inherited Peripheral Neuropathies (Charcot Marie Tooth, HNPP)
• Genetic Test: Testing for Neurotrophic Receptor Tyrosine Kinase (NTRK) Gene Fusions
• Genetic Test: Universal Gene Test (Counsyl)
• Givosiran (GIVLAARI®)
• Ground Ambulance
• Hip Resurfacing
• Hippotherapy
• Hydrogel Implant for Prostate Radiation Therapy-Absorbable Perirectal Spacer (APS); SpaceOAR System (Augmenix inc)
• Implantable Telescope for the Treatment of Age-Related Macular Degeneration
• Intensity Modulated Radiation Therapy (IMRT)
• Intensity Modulated Radiation Therapy (IMRT), Prostate
• Lab Test: Identification of Microorganisms Using Nucleic Acid Probes
• Lutetium Lu 177 vipivotide tetraxetan (e.g., Pluvicto)
• Minimally Invasive Lumbar Interbody Fusion
• Nerve Graft for Patients Undergoing Radical Non-Nerve-Sparing Prostatectomy
• Nesiritide (Natrecor) for Use in the Outpatient Setting
• Ocriplasmin (Jetrea®) for Symptomatic Vitreomacular Adhesion
• Osteochondral Allograft and/or Mosaicplasty for Osteochondral Defects of the Knee
• PPACA: Prevention Of Human Immunodeficiency Virus (HIV) Infection, Preexposure Prophylaxis
• Preventive Services for Non-Grandfathered (PPACA) Plans: Aspirin for the Prevention of Morbidity and Morality from Preeclampsia in High Risk Pregnant Women
• Preventive Services for Non-Grandfathered (PPACA) Plans: Overview
• Prostatic Urethral Lift (UroLift System)
• Pulmonary Arterial Hypertension, Pharmacological Treatment with Prostacyclin Analogues, Endothelin Receptors Antagonists, or Phosphodiesterase Inhibitors
• Respiratory Syncytial Virus, Immune Prophylaxis with Palivizumab (Synagis)
• Responsive Neurostimulation for the Treatment of Refractory Partial Epilepsy
• Romosozumab-aqqg (Evenity®)
• Sacral Nerve Stimulation for the Treatment of Neurogenic Bladder Secondary To Spinal Cord Injury
• Scleral Contact Lens, Gas Permeable
• Sleep Apnea, Minimally Invasive Surgical Treatment
• Spinal Manipulation Under General Anesthesia
• Tocilizumab (e.g., Actemra™)
• Tumor Antigen, CA 125 (Carcinoembryonic Antigen 125)

Click here to view the Blue Cross Blue Shield BCBS Arkansas Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!

Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.