Curative medical and medical drug policies
Curative medical policies:
ADAMTS13 Assay for Thrombotic Thrombocytopenic Purpura (TTP) Policy
Ambulatory Assist Devices, Walkers, Canes and Crutches Policy
Appropriate Level of Care - Short Stay and Observation 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
Inpatient Section C — Oncology: Inpatient Cancer Treatment Policy
Inpatient Section F — Organ Transplant & Supplemental Policy
Inpatient Section G — Other Inpatient Surgical Procedures Policy
Panniculectomy and Redundant Skin Removal Policy and Procedure
Whole Genome Sequencing for Diagnosis of Constitutional (Germline) Disorders Policy
Curative medical drug policies
Archive
Applied Behavior Analysis (ABA) Therapy Policy - Archived 4/27/2026