All policies are posted prior to their effective date. Below is a listing of
the policy notifications that we have posted to our website as of October 26,
2012.
Policy effective date
Policy No.
Notification title
Notification issue date
October 26, 2012
06.02.24f
Preimplantation Genetic testing
September 26, 2012
October 26, 2012
07.13.06g
Scanning Computerized Opthalmic Diagnostic Imaging (SCODI)
September 26, 2012
October 30, 2012
11.14.07i
Intra-articular Injection of Hyaluronan for the Treatment of Osteoarthritis
August 1, 2012
November 9, 2012
02.01.01b
Home Health Care Services
October 10, 2012
November 9, 2012
11.11.01d
Evaluation and Treatment of Erectile Dysfunction (ED)
October 10, 2012
November 9, 2012
06.02.31c
Genetic Testing for Congenital Long QT Syndrome
October 10, 2012
November 9, 2012
11.06.04g
Uterine Artery Embolization
October 10, 2012
November 9, 2012
07.02.10b
End-Diastolic Pneumatic Compression Therapy
October 10, 2012
November 15, 2012
06.02.14e
In Vitro Chemosensitivity and Chemoresistance Assays
October 16, 2012
November 26, 2012
08.00.95b
Personalized Vaccines (e.g., Provenge)
October 26, 2012
December 12, 2012
11.00.06d
Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring for Adults
September 13, 2012
January 1, 2013
00.03.01j
Podiatry Services Included in Capitation for Pennsylvania Based Health
Maintenance Organization (HMO) or Health Maintenance Organization
Point-of-Service (HMO-POS) Products
November 3, 2012
January 9, 2013
11.01.01g
Otoplasty
October 10, 2012
To view the policy notifications, visit our
Medical Policy website, select
Accept and Go to Medical Policy Online, and click on the
Policy
Notifications box. You can also view policy notifications using the
NaviNet
® web portal by selecting
Reference Tools from the
Plan Transactions menu, then
Medical Policy. Once these policies are in
effect, they will be available by using the Search box on the Medical Policy
homepage. Be sure to check back often, as the site isupdated frequently.
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