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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)
- Applied Behavioral Analysis Documentation Requirements (CP.BH.105) (PDF)
- DME (CP.MP.107) (PDF)
- Hyperhidrosis Treatments (CP.MP.62) (PDF)
- Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (CP.MP.180) (PDF)
- Urinary Incontinence Devices and Treatments (CP.MP.142) (PDF)
- Assisted Reproductive Technology (CP.MP.55) (PDF)
- Behavioral Health Treatment Documentation Requirements (HIM.CP.BH.500) (PDF)
- Deep Transcranial Magnetic Stimulation for the Treatment of Obsessive Compulsive Disorder (CP.BH.201) (PDF)
- Heart-Lung Transplant (CP.MP.132) (PDF)
- Intensity-Modulated Radiotherapy (CP.MP.69) (PDF)
- Lung Transplantation (CP.MP.57) (PDF)
- Outpatient Cardiac Rehabilitation (CP.MP.176) (PDF)
- Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention (CP.MP.147) (PDF)
- Skin and Soft Tissue Substitutes for Chronic Wounds (CP.MP.185) (PDF)
- Transcranial Magnetic Stimulation for Treatment Resistant Major Depression (CP.BH.200) (PDF)
- Transplant Service Documentation Requirements (CP.MP.247) (PDF)
- Allogeneic Hematopoietic Progenitor Cell Therapy (CP.MP.249) (PDF)
- Bone-Anchored Hearing Aid (CP.MP.93) (PDF)
- Fecal Incontinence Treatments (CP.MP.137) (PDF)
- Physical, Occupational, and Speech Therapy Services (CP.MP.49) (PDF)
- Reduction Mammoplasty and Gynecomastia Surgery (CP.MP.51) (PDF)
- Sacroiliac Joint Interventions for Pain Management (CP.MP.166) (PDF)
- Selective Nerve Root Blocks and Transforaminal Epidural Steroid Injections (CP.MP.165) (PDF)
- Skin and Soft Tissue Substitutes for Chronic Wounds (CP.MP.185) (PDF)
- Total Artificial Heart (CP.MP.127) (PDF)