Page Title for page template

View Medical Policies

Asset Search Filter and Browse

Showing 1– 20 of 294 Results
Title Last Updated Category
Cognitive Rehabilitation, Attention Rehabilitation, Sensory Integration Therapy Open a PDF 8.01.19 2020-02-19 Therapy & Rehabilitation
Clinical Trials Open a PDF 11.01.10 2020-02-19 Miscellaneous
Comfort, Convenience, Custodial or Cosmetic Services Open a PDF 11.01.11 2020-02-19 Miscellaneous
Dental Implants Open a PDF 13.01.01 2020-02-19 Dental
Coverage for Ambulatory Surgery Unit (ASU) and Anesthesia for Dental Surgery Open a PDF 7.03.01 2020-02-19 Anesthesiology
Auditory Processing Disorder (APD) Testing Open a PDF 2.01.39 2020-02-19 Ear, Nose & Throat (Otorhinolaryngology)
Alopecia (e.g., Areata, Androgenic, Scarring), Baldness, Hair Loss Open a PDF 2.01.36 2020-02-19 Cosmetic / Reconstructive Surgery
Vision/Eye Therapy: Optometric Phototherapy, Occlusion Therapy, Orthoptics, Pleoptics Open a PDF 9.01.04 2020-02-20 Eyes (Ophthalmology)
Temporomandibular Joint (TMJ) Disease Open a PDF 11.01.17 2020-02-20 Bone & Joints (Orthopedic)
Psychological Testing Open a PDF 3.01.02 2020-02-20 Behavioral Health (Psychology)
Private Rooms Open a PDF 12.01.06 2020-02-20 Miscellaneous
Neuropsychological Testing Open a PDF 2.01.50 2020-02-20 Nervous Systems (Neurology)
Medically Necessary Services Open a PDF 11.01.15 2020-02-20 Miscellaneous
Medication Assisted Therapy (e.g., Buprenorphine, LAAM, Methadone Maintenance Treatment, Ultra-rapid Detoxification), Opioid treatment Open a PDF 3.01.04 2020-02-20 Behavioral Health (Psychology)
Home Exercise/Physical Therapy Equipment (e.g., Home Gym, Jacuzzi) Open a PDF 1.01.12 2020-02-20 Home Care
Treatment of Hirsutism/Hypertrichosis (Hair Removal) (e.g., Electrolysis, Epilation) Open a PDF 2.01.38 2020-02-20 Cosmetic / Reconstructive Surgery
Group Therapy for Mental Health Open a PDF 3.01.08 2020-02-20 Behavioral Health (Psychology)
Developmental Evaluation and Testing Open a PDF 2.01.54 2020-02-20 Children's Health (Pediatrics)
Allergy Testing (Allergen Specific IgE, Allergen Specific IgG, Challenge, Cytotoxic, Dipstick, Disk, Intracutaneous, Intradermal, Leukocyte Histamine Release, Mucous Membrane, Paddle, Patch, Percutaneous, Phadiatop, Prick, Provocation-Neutralization, RAST, Rinkel, Scratch, Serial Endpoint Titration, Skin End Point Titration, Skin) Open a PDF 2.01.10 2020-02-24 Ear, Nose & Throat (Otorhinolaryngology)
Artificial Cervical Intervertebral Discs (e.g., Bryan, Mobi-C, PCM [Porous Coated Motion] Cervical Disc®, Prestige®, ProDisc®, Secure-C) Open a PDF 7.01.80 2020-02-24 Bone & Joints (Orthopedic)
Showing 1– 20 of 294 Results