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Clinical Policy Updates
Ambetter from Meridian continuously updates select clinical policies each month. This page reflects upcoming clinical policy changes. Please refer to this page for recent policy updates and reach out to your Provider Relations representative if you have any questions.
- Applied Behavior Analysis (CP.BH.104) (PDF)
- Durable Medical Equipment and Orthotics and Prosthetics Guidelines (CP.MP.107) (PDF)
- IV Moderate Sedation, IV Deep Sedation, and General Anesthesia for Dental Procedures (CP.MP.61)
- Orthognathic Surgery (CP.MP.202) (PDF)
- Radiation Therapy for Skin Cancer (CP.MP.251) (PDF)
- Applied Behavioral Analysis Documentation Requirements (CP.BH.105) (PDF)
- Biofeedback (CP.MP.168) (PDF)
- Concert Genetic Testing Oncology: Alogrithmic Assays (PDF)
- Concert Genetic Testing Oncology: Cancer Screening and Surveillance (PDF)
- Concert Genetic Testing Oncology: Hematologic Malignancy (PDF)
- Concert Genetic Testing Oncology: Solid Tumor Molecular Diagnostics (PDF)
- Concert Genetic Testing: Cardiovascular (PDF)
- Concert Genetic Testing: Gastroenterology (PDF)
- Concert Genetic Testing: Hereditary Cancer (PDF)
- Concert Genetic Testing: Identity and Forensics (PDF)
- Concert Genetic Testing: Multisystem Genetic Conditions (PDF)
- Concert Genetic Testing: Neurology (PDF)
- Concert Genetic Testing: Nutrition and Metabolism (PDF)
- Concert Genetic Testing: Preimplantation Genetic Testing (PDF)
- Concert Genetic Testing: Prenatal Screening (PDF)
- Concert Genetic Testing: Transplant (PDF)
- Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (CP.MP.180) (PDF)
- Obstetrical Home Care Programs (CP.MP.91) (PDF)
- Outpatient Oxygen Use (CP.MP.190) (PDF)
- Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy (CP.MP.174) (PDF)
- Skin and Soft Tissue Substitues for Diabetic Foot Ulcers and Venous Leg Ulcers (CP.MP.185) (PDF)
- Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation (CP.MP.117) (PDF)