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 hereorvisit all policies here. 

Effective June 1, 2024 

  • Bariatric Surgery
  • Cardiac Procedures
  • Custodial Care long-term Placement in a Nursing Home
  • Electrical Stimulation Devices
  • Electromyography and Nerve Conduction Studies
  • Erectile Dysfunction
  • Extracorporeal Shock Wave Therapy
  • Home and Community Based Services (HCBS) Adult
  • Hospice Care
  • Implantable Cardioverter Defibrillators, Implantable Dual Chamber Automatic Defibrillators, Cardiac Resynchronization Devices
  • Infertility Services (Advanced) and In Vitro Fertilization
  • Inhaled Nitric Oxide (INOMax)
  • Investigational Procedures, Devices, Medical Treatments, and Tests
  • Joint Replacement and Implant for Hallux Rigidus
  • Laser Treatment of Port Wine Stains, Hemangiomas, and Benign Skin Lesions
  • Leadless Cardiac Pacemakers
  • Negative Pressure Wound Therapy Pumps
  • Oncotype DX and Cancer Gene Expression Tests
  • Orthotic Devices (other than therapeutic diabetic footwear)
  • Personal Care and Consumer Directed Services
  • Prophylactic Mastectomy and Oophorectomy
  • Prosthetic Devices (external): Eye and Facial and Scleral Shells
  • Tissue-Engineered Skin and Other Substitutes
  • Umbilical Cord Blood Banking
  • Ventricular Reduction Surgery  

Policy Updates

Review other articles in this issue regarding formulary, pharmacy policy, and medical policy updates.