Current Policies

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C

• Clinical Drug Testing in Addiction Treatment Programs and Pain Management Programs
• Comfort and Convenience Items

E

• Experimental-Investigational Services

G

• Genetic, Pharmacogenetic, and Pharmacodynamic Testing for Diagnosis and Management of Behavioral Health Conditions
• Genetic Testing for Hereditary Cancers: Breast, Ovarian, and Pancreatic
• Gender Affirmation
• Genicular Nerve Blocks

 

I

• Inhaled Nitric Oxide (iNO)
• Intraoperative Neurophysiological Testing

L

• Laser Treatment for Psoriasis
• Levels of Care

 

M

• Medical Necessity Determination Policy for Medicare Covered Services Without Established Criteria

 

N

• Non-invasive Prenatal Testing (NIPT) - Cell-Free DNA

 

P

• Pancreatic Islet Cell Transplantation
• Platelet Rich Plasma
• Proprietary Laboratory Testing

S

• Sepsis
• Short-Term Glucose Monitoring
• Skilled Private Duty Nursing (PDN)
• Skin Lesion Surveillance Technologies
• Speech Therapy

T

• Thyroid Screening 
• Transcranial Magnetic Stimulation (TMS)
• Transplant Services

V

• Vaginitis Diagnostic Testing