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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.
- Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (CP.MP.180) (PDF) (Revision date 8/31/2024)
- Articular Cartilage Defect Repairs (CP.MP.26)(PDF)
- Experimental Technologies (CP.MP.36) (PDF)
- Functional MRI (CP.MP.43) (PDF)
- Gastric Electrical Stimulation (CP.MP.40) (PDF)
- Heart-Lung Transplant (CP.MP.132) (PDF)
- Lantidra (Donislecel): Allogeneic Pancreatic Islet Cellular Therapy (CP.MP.250) (PDF)
- Long Term Care Placement (CP.MP.71) (PDF)
- Nonmyeloablative Allogeneic Stem Cell Transplants (CP.MP.141) (PDF)
- Obstetrical Home Care (CP.MP.91) (PDF)
- Pancreas Transplantation (CP.MP.102) (PDF)
- Short Inpatient Hospital Stay (CP.MP.182) (PDF) (Revision Date 9/30/2024)
- Total Parenteral Nutrition and Intradialytic Parenteral Nutrition (CP.MP.163) (PDF)
- Tandem Transplant (CP.MP.162) (PDF)
- Vagus Nerve Stimulation (CP.MP.12) (PDF) (Revision Date 9/30/2024)
- Ventricular Assist Devices (CP.MP.46) (PDF)
- Biofeedback for Behavioral Health Disorders (CP.BH.300) (PDF)
- Bone-Anchored Hearing Aid (CP.MP.93) (PDF)
- Disc Decompression Procedures (CP.MP.114) (PDF)
- Durable Medical Equipment and Orthotics and Prosthetics Guidelines (CP.MP.107) (PDF)
- Facet Joint Interventions (CP.MP.171) (PDF)
- Fetal Surgery in Utero for Prenatally Diagnosed Malformations (CP.MP.129) (PDF)
- Home Ventilators (CP.MP.184) (PDF)
- Hospice Services (CP.MP.54) (PDF)
- Reduction Mammoplasty and Gynecomastia Surgery (CP.MP.51) (PDF)
- Sacroiliac Joint Fusion (CP.MP.126) (PDF)
- Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation (CP.MP.117) (PDF)