Published July 2025

Below is a recap of Medical Policy updates that went into effect recently. All policies are reviewed at least once annually. For more detailed information on the changes, please review our Provider FastFax Library or review all MVP Health Care Medical Policies.

Effective June 1, 2025

• Ambulatory Holter Monitors and 30-day Cardiac Event Recorders/Monitors
• Applied Behavior Analysis for Autism Spectrum Disorders
• Autologous Chondrocyte Implantation (ACI), Osteochondral Allograft Transplantation, Osteochondral Allograft Transfer System (OATS)
• Benign Prostatic Hyperplasia (BPH) Treatments
• Biofeedback Therapy
• Cardiac Procedures
• Compression Devices
• COVID-19 Related Medical Management
• Dental Care Services: Medical Services for Complications of Dental Problems
• Electrical Stimulation Devices and Therapies
• Endovenous Ablation of Varicose Veins
• External Breast Prosthesis
• Extracorporeal Shock Wave Therapy for Musculoskeletal Indication
• Idiopathic Scoliosis Surgery and Growing Rods Technique
• Investigational Procedures, Devices, Medical Treatments, and Tests
• Neuropsychological Testing
• Obstructive Sleep Apnea: Surgical Treatment
• Orthotic Devices (other than therapeutic diabetic footwear)
• Phototherapeutic Keratectomy (PTK) and Refractive Surgery
• Prosthetic Devices (External) Eye and Facial and Scleral Shells
• Scoliosis Bracing
• Whole Exome Sequencing