| Medical Guidelines |
Reason for Update |
| Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions |
Reference added. Policy Guidelines updated. Specialty Matched Consultant Advisory Panel review 6/17/2020. |
| Chelation Therapy |
Reference added. Specialty Matched Consultant Advisory Panel review 2/17/2021. No change to policy statement. |
| Clinical Trial Services |
Specialty Matched Consultant Advisory Panel review 2/17/2021. No change to policy. |
| Complementary and Alternative Medicine |
Specialty Matched Consultant Advisory Panel review 2/17/2021. Description section updated to reflect name change of The National Center for Complementary and Alternative Medicine (NCCAM) to The National Center for Complimentary and Integrative Medicine ( NCCIM). References added. No change to policy statement. |
| Electrical Stimulation for the Treatment of Arthritis |
Reference added. Description section updated. Specialty Matched Consultant Advisory Panel review 2/17/2021. No change to policy statement. |
| Gender Affirmation Surgery and Hormone Therapy |
Medical Director review. Removed “That the candidate has, intends to, or is in the process of acquiring a legal gender-identity appropriate name change and” from the list of Provider Documentation Criteria for Gender Affirmation Surgery. |
| Infusion Therapy in the Home |
Specialty Matched Consultant Advisory Panel review 2/17/2021. No change to policy. |
| Observation Room Services |
Specialty Matched Consultant Advisory Panel review 2/17/2021. Reference added. No change to policy. |
| Skilled Nursing Facility Care |
Specialty Matched Consultant Advisory Panel review 2/17/2021. Reference added. No change to policy statement |
| Skilled Nursing Services |
Specialty Matched Consultant Advisory Panel review 2/17/2021. No change to policy statement. |
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