April 2024 Medical Policy Updates

Below is a recap of the Medical Policies that went into effect recently. All policies are reviewed at least once annually. For more detailed information on these changes, please review here or visit all policies here.

Effective February 1, 2024

• Adult Day Health Care (ADHC)
• Cardiac Procedures
• Dental Care Services: Accidental Injury to Sound Natural Teeth
• Dental Care Services: Facility Services for Dental Care
• Dental Care Services: Prophylactic Dental Extractions
• Endoscopy and Colonoscopy
• Fertility Preservation Services
• Gender Affirming Treatments
• Heart and Kidney Transplant Rejection Testing
• Imaging Procedures
• Immunizations Pediatric, Adolescent, and Adult
• Phototherapy, Photochemotherapy, and Excimer Laser Therapy for Dermatologic Conditions
• Procedures for the Management of Chronic Spinal Pain and Spinal Pain
• Radiofrequency Neuroablation (Rhizotomy). Facet Joint Injections, Medial Branch Blocks, Procedures for Chronic Pain
• Vitiligo Treatment

Effective April 1, 2024

• Applied Behavior Analysis
• Bone Growth Stimulator
• Cardiac Output Monitoring by Thoracic Electrical Bioimpedance
• Clinical Guideline Development, Implementation, and Review Process
• Durable Medical Equipment (Includes Prosthetics and Orthotics)
• Endovascular Repair of Aortic Aneurysms and Percutaneous Transluminal Angioplasty
• Epidermal Nerve Fiber Density Testing
• Genetic and Molecular Diagnostic Testing
• Ground Ambulance and Ambulette Services
• Hospital Inpatient Level of Care
• Lenses for Medical Conditions of the Eye
• Lymphedema Compression Garments and Compression Stockings
• Medical Policy Development, Implementation, and Review Process
• Mental Health Services
• Minimally Invasive Anti-Reflux Procedures and Peroral Endoscopic Myotomy (POEM) Procedures
• Needle-Free Insulin Injectors
• Orthognathic Surgery
• Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture
• Skin Endpoint Titration
• Speech Generating Devices