Medical and Pharmacy Coverage Policies

Effective Date	Policy Name	Reviewed Date
6/1/2026	Headache and Occipital Neuralgia Treatments - Medicare Advantage	5/12/2026
5/18/2026	Hearing Aids - MEDICAID - LOUISIANA	9/2/2025
12/1/2025	Hematopoietic Stem Cell Transplantation - Medicare Advantage	11/11/2025
5/18/2026	High Frequency Chest Wall Oscillation Devices - MEDICAID - LOUISIANA	10/7/2025
3/16/2026	Hip Arthroplasty - Medicare Advantage	10/14/2025
1/2/2026	Hip Arthroscopy - Medicare Advantage	12/9/2025
5/13/2026	Home Health - MEDICAID - INDIANA	10/7/2025
3/18/2026	Home Health - MEDICAID - LOUISIANA	7/1/2025
9/1/2026	Home Mechanical Ventilators - Medicare Advantage	8/11/2026
7/20/2026	Homebuilders - MEDICAID - LOUISIANA	9/2/2025
6/6/2025	Hospital Based Care Coordination of Pregnant Members with Substance Use Disorder - In Lieu of Service - MEDICAID - LOUISIANA	10/1/2024
1/16/2026	Hospital Bed - MEDICAID - LOUISIANA	7/1/2025
6/1/2026	Hyperbaric Oxygen Therapy, Topical Oxygen Therapy - Medicare Advantage	5/12/2026
4/1/2026	Hyperthermia and Ultrasound-Based Ablative Cancer Treatments - Medicare Advantage	3/10/2026

Medical Coverage Policies