Click here to view the Providence Health Plan Medical Policy Updates » September 2024 Providence…
UPMC Health Plan Medical Policy Updates – December 2022
Click here to view the UPMC Health Plan Medical Policy Updates »
December 2022 UPMC Health Plan Medical Policy Updates:
- Air Conduction Hearing Aids and Device Fitting, Medical Assistance 21 and Over
- Authorization of Out of Network Care and Benefit Elevations
- Balloon Sinus Ostial Dilation
- CardioMEMS Heart Failure Monitoring System
- Clinical Review Criteria
- Continuous Glucose Monitors
- Debridement Services
- Diagnostic Nasal/Sinus Endoscopy
- Enteral Nutrition Products
- Experimental and Investigational Services
- Gender Affirming Surgery – Commercial, Medicare, CHIP
- Genetic Testing – CYP2D6
- Genetic Testing – Pharmacogenomics
- Glaucoma, Minimally Invasive Procedures and Tube Shunts
- Herniorrhaphy, Adult
- Home Accessibility DME – Medical Assistance and Community HealthChoices
- Hypoglossal Nerve Stimulators
- Implantable Loop Recorder
- Level of Care Determination
- Level of Care Determination
- Milk Bank, Human Donor (HDMB) Services, Outpatient
- Non-Compensable, Experimental and Investigational Services – Medical Assistance
- Non-Invasive Fractional Flow Reserve (FFR)
- Nutrition – Medical Nutrition Therapy
- Obstetrical Ultrasound
- Palliative Care, Adult
- Pancreatectomy with Autologous Islet Cell Transplantation
- Pap Smears – Diagnostic
- Pelvic Organ Prolapse
- Physical Therapy, Outpatient
- Physical Therapy, Outpatient
- Policy and Procedure Manual
- Private Duty Nursing – Commercial and CHIP
- Private Duty Nursing – Commercial and CHIP
- Prostate Needle Biopsy, Adult
- Prostate Treatment – Adult
- Radiology, CT Angiography of Chest
- Radiology, Low-Dose Computed Tomography
- Skilled Nursing and Personal Care Shift Services– Medical Assistance
- Skilled Nursing and Personal Care Shift Services– Medical Assistance
- Skin Equivalents (HSE) – Commercial/CHIP
- Sleep Medicine – Sleep Study
- Telehealth
- Therapeutic Apheresis
- Tonsillectomy, Adult
- Tumor Markers
- Tumor Treating Fields for Glioblastoma Multiforme
Click here to view the UPMC Health Plan Medical Policy Updates »
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