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Clinical Policy Revisions: Effective May 15, 2026

Date: 03/16/26

Thank you for your continued partnership with Ambetter. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of policy revisions that Ambetter will be implementing effective on or after 5/15/2026.

Policy Numbers & Names

CP.MP.113 Holter Monitors

CP.MP.97 Testing for Select Genitourinary Conditions

CP.MP.121 Homocysteine Testing

Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.