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Curative Medical Policies

Abatacept (Orencia) Policy
Ablative Procedures for Prostate Cancer Policy
Actinic Keratoses Treatments Policy
Acupuncture Policy
ADAMTS13 Assay for Thrombotic Thrombocytopenic Purpura (TTP) Policy
Alpha 1-Proteinase Inhibitors Policy
Ambulatory Assist Devices, Walkers, Canes and Crutches Policy
Appropriate Level of Care - Short Stay and Observation Policy
Bariatric Surgery Policy and Procedure
Bathroom and Toilet Equipment and Supplies Policy
Behavioral Health and Substance Use Disorder Services Policy - Members Under 18 (Birth through Age 17)
Behavioral Health and Substance Use Disorder Services Policy - Members 18 and Over
Benign Skin Lesion Removal Policy
Botulinum Toxin Policy
Breast Reconstructive Surgery Policy
Breast Reduction Surgery and Gynecomastia Surgery Policy
Capsule Endoscopy Policy
Cardiac Event Monitors Policy
Chiropractic Services Policy
Colonoscopy and Colorectal Screening Policy
Colony Stimulating Factors (CSF) Policy
Electroconvulsive Therapy (ECT) Policy
Erythropoiesis Stimulating Agents (ESA) Policy
Experimental, Investigational & Emerging Technology
External Breast Prosthesis Policy
Eyelid Surgery Policy
Glucose Monitoring Policy
Hearing Aids Policy
Heart Transplant Policy
Home Health Skilled Nursing Services Policy
Home Infusion Therapy Policy and Procedure
Home Oxygen Policy
Immunoglobulins Policy
Infertility Policy and Procedure
Invasive Back Pain Treatments Policy
Iron Deficiency Policy
Kidney Transplant Policy
Liver Transplant Policy
Magnetic Resonance Imaging (MRI) Steerage Pilot Policy
Multiple Sclerosis Policy
Non-Invasive Back Pain Treatment Policy
Occupational Therapy Policy
Osteoporosis Policy
Panniculectomy and Redundant Skin Removal Policy and Procedure
Physical Therapy Policy
Post-Acute Care Policies
Radiation Therapy Policy
Site of Service Policy
Site of Service Policy
Sleep Apnea Policy
Spinal Surgery - Laminectomy and Fusion Policy
Tepezza Infusion Policy
Testosterone Replacement Therapy Policy
Transgender Affirmation Policy and Procedure
Tumor Necrosing Factor (TNF) Inhibitors Policy
Urinary Incontinence Policy
Urological Supplies Policy
Vascular Endothelial Growth Factor Inhibitors for Ocular Indications Policy
Ventricular Assist Device Policy
Virtual Gastrointestinal Endoscopy (CT Colonography) Policy
Viscosupplementation Policy
Voice Therapy Policy
Wheelchairs and Powered Operated Vehicles (Scooters) Policy
Xiaflex Medical Policy

Archive

Applied Behavior Analysis (ABA) Therapy Policy - Archived 4/27/2026

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