Policy Name Effective Date Revision Date Next Review Date
A
admin-023 Administrative Denials September 01, 2021 May 26, 2021 May 26, 2022
D
mp-026 Drug Levels and Antibody Testing for Infliximab, Adalimumab, Vedolizumab and Ustekinumab September 20, 2021 July 15, 2021 July 15, 2022
reimb-030 Durable Medical Equipment (DME) October 06, 2021 August 06, 2021 August 06, 2022
H
reimb-010 Home Health Aide Services May 23, 2022 March 23, 2022 March 23, 2023
admin-016 Hospice Eligibility Determination Policy March 26, 2022 January 26, 2022 January 26, 2023
M
reimb-034 Multiple Procedure Payment Reduction (MPPR) September 01, 2021 July 01, 2021 July 01, 2022
N
reimb-007 Next Generation Sequencing (NGS) Genetic Testing October 06, 2021 August 6, 2021 August 06, 2022
P
reimb-026 Prolonged Services September 01, 2021 May 19, 2021 May 19, 2022
R
admin-022 Retrospective Service Reviews September 01, 2021 May 26, 2021 May 26, 2022
S
MP-069 Serologic Testing for Liver Fibrosis April 23, 2022 February 23, 2022 February 23, 2023