Updated Policies are those policies scheduled for publication 60 days from the listed effective date in the policy. These policies may be used for determination of clinical authorizations or may be used to guide reimbursement decisions.

If you wish to provide input or comment on these policies, please send any comments to coveragepolicies@hsc.utah.edu for consideration.

Policy Name Posted Date Effective Date Next Review Date
Updated Policies
pharm-108Continuous Glucose Monitor (CGM)- Retail PharmacySeptember 01, 2021November 01, 2021August 18, 2022
mp-002Gender Affirming SurgeryAugust 23, 2021October 23, 2021August 23, 2022