Click here to view the Humana Medical Policy Updates Updates » January 2025 Humana Medical…
UPMC Health Plan Medical Policy Updates – January 2025
Click here to view the UPMC Health Plan Medical Policy Updates »
January 2025 UPMC Health Plan Medical Policy Updates:
- Amniotic Membrane Transplant (Ocular)
- Biochemical Markers of Alzheimer Disease and Dementia
- Breast Pumps
- Cardiovascular Disease Risk Assessment
- Cervical Cancer Screening
- CHIP IACCV Prior Authorization Policies
- CHIP Medical Prior Authorization Policies
- CHIP Prior Authorization Policies
- CHIP Step Therapy Policies
- Commercial, Exchange IACCV Prior Authorization Policies
- Commercial, Exchange Medical Prior Authorization Policies
- Commercial, Exchange Prior Authorization Policies
- Commercial, Exchange Step Therapy Policies
- Cosmetic vs. Reconstructive Services
- Delandistrogene moxeparvovec (Elevidys) – Medicaid
- Diagnostic Testing of Common Sexually Transmitted Infections
- Endoscopy, Upper, Adult
- Enteral Nutrition Products
- Flow Cytometry
- Hepatitis Testing
- Identification of Microorganisms using Nucleic Acid Probes
- Immunopharmacologic Monitoring of Therapeutic Serum Antibodies
- Intravenous Immune Globulin (IVIG) & Subcutaneous Immune Globulin (SCIG)
- Nedisoran (Rivfloza) – Medicaid
- Oral and Topical Oncology Agents, Non-PDL
- Oral Cancer Screening and Testing
- Outpatient Pulmonary Rehabilitation
- Palovarotene (Sohonos™) – Medicaid
- Pathogen Panel Testing
- Plasminogen, human-tvmh (Ryplazim®) – Medicaid
- Prenatal Screening (Non-Genetic)
- Rituximab (Rituxan® and Rituxan Hycela®), rituximab-abbs (Truxima®), rituximab-pvvr (Ruxience™), and rituximab-arrx (Riabni™)
- Ropeginterferon alfa-2b (Besremi®) – Medicaid
- Skin Lesion Removal
- Testing for Alpha-1 Antitrypsin Deficiency
- Testing for Vector-Borne Infections
- Thyroid Disease Testing
- Transthoracic Echocardiography (TTE), including outpatient point of care ultrasonography
- Venous and Arterial Thrombosis Risk Testing
- Vestibular and Audiologic Function Studies
- β-Hemolytic Streptococcus Testing
Click here to view the UPMC Health Plan Medical Policy Updates »
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