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Clinical Policy Annual Review

Date: 07/09/24

The following clinical policies have undergone an annual review with some added criteria requirements that may impact the prior authorization process. Please see the revision log within each policy to review the changes. Clinical policies can be found here: https://www.ambettermeridian.com/provider-resources/clinical-payment-policies.html and upcoming changes can be found here:  https://www.ambettermeridian.com/provider-resources/clinical-payment-policies/clinical-policy-updates.html

  • CP.MP.132 Heart-Lung Transplant
  • CP.MP.40 Gastric Electrical Stimulation
  • CP.MP.91 OB Home Programs
  • CP.MP.141 Non-Myeloablative Allogeneic Stem Cell Transplants