| Administrative |
ADMIN-023 |
Administrative Denials |
28-May-25 |
28-May-25 |
28-May-26 |
| Administrative |
ADMIN-004 |
Behavioral Health Residential Treatment Centers |
4-Sep-24 |
4-Sep-24 |
4-Sep-25 |
| Administrative |
ADMIN-002 |
Behavioral Health Services Level of Care Determination |
25-Sep-24 |
25-Sep-24 |
25-Sep-25 |
| Administrative |
ADMIN-015 |
Category III CPT Codes |
1-Jan-25 |
1-Jan-25 |
1-Jan-26 |
| Administrative |
ADMIN-001 |
Clinical Criteria for Review Determinations |
26-Sep-25 |
26-Sep-25 |
26-Sep-26 |
| Administrative |
ADMIN-008 |
Custodial/Respite Care |
23-Mar-25 |
23-Mar-25 |
23-Mar-26 |
| Administrative |
ADMIN-021 |
Dismissal: Failure to Follow Filing Procedures |
28-May-25 |
28-May-25 |
28-May-26 |
| Administrative |
ADMIN-016 |
Hospice Eligibility Determination Policy |
22-Jan-25 |
22-Jan-25 |
22-Jan-26 |
| Administrative |
ADMIN-003 |
Medical Services Level of Care Determination |
4-Dec-24 |
4-Dec-24 |
4-Dec-25 |
| Administrative |
ADMIN-020 |
Noncovered Behavioral Health-Related Services |
26-Feb-25 |
26-Feb-25 |
26-Feb-26 |
| Administrative |
ADMIN-018 |
Personal Care Services |
4-Dec-24 |
4-Dec-24 |
4-Dec-25 |
| Administrative |
ADMIN-022 |
Retrospective Service Reviews |
25-Nov-24 |
25-Sep-24 |
25-Sep-25 |
| Administrative |
ADMIN-014 |
Hospital Acquired Conditions and Never Events |
23-Oct-24 |
23-Oct-24 |
23-Oct-25 |
| Administrative |
ADMIN-005 |
Reopening of Organizational Determinations for Medical Review |
28-Oct-24 |
28-Aug-24 |
28-Aug-25 |
| Administrative |
ADMIN-009 |
Behavioral Health Intensive Outpatient and Partial Hospitalization Programs |
23-Dec-24 |
23-Oct-24 |
23-Oct-25 |
| Administrative |
ADMIN-012 |
Experimental/Investigational Services |
22-Mar-25 |
22-Jan-25 |
22-Jan-26 |
| Administrative |
ADMIN-010 |
Telehealth Policy |
30-Jun-25 |
30-Apr-25 |
30-Apr-26 |