Medical and Pharmacy Coverage Policies

Effective Date	Policy Name	Reviewed Date
2/2/2026	Elective Aorta and Iliac Artery Aneurysm Repair - Medicare Advantage	1/13/2026
7/1/2026	Endobronchial Valve Therapy for Emphysema - Medicare Advantage	6/9/2026
7/20/2026	EPSDT Personal Care Services - MEDICAID - LOUISIANA	10/7/2025
7/22/2026	Excessive Skin and Subcutaneous Tissue Removal - MEDICAID - KENTUCKY	11/4/2025
5/8/2026	Eyebrow & Eyelid Repair - MEDICAID - LOUISIANA	8/5/2025
12/15/2025	Eyebrow and Eyelid Repair - MEDICAID - FLORIDA	8/5/2025
12/3/2025	Eyebrow and Eyelid Repair - MEDICAID - VIRGINIA	8/5/2025

Medical Coverage Policies