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Effective DatePolicy NameReviewed Date
6/1/2026 Obstructive Sleep Apnea and Other Sleep Related Breathing Disorders Surgical Treatments - Medicare Advantage
5/12/2026
6/22/2026 Obstructive Sleep Apnea Interventional Therapy - MEDICAID - FLORIDA
2/3/2026
5/22/2026 Obstructive Sleep Apnea Interventional Therapy - MEDICAID - ILLINOIS
2/3/2026
5/20/2026 Obstructive Sleep Apnea Interventional Therapy - MEDICAID - INDIANA
2/3/2026
5/22/2026 Obstructive Sleep Apnea Interventional Therapy - MEDICAID - MICHIGAN
2/3/2026
5/25/2026 Obstructive Sleep Apnea Interventional Therapy - MEDICAID - SOUTH CAROLINA
2/3/2026
5/27/2026 Obstructive Sleep Apnea Interventional Therapy - MEDICAID - VIRGINIA
2/3/2026
7/1/2026 Ocular Surface Disease Diagnosis and Treatments - Medicare Advantage
6/9/2026
6/22/2026 Orthognathic Surgery - MEDICAID - FLORIDA
2/3/2026
5/22/2026 Orthognathic Surgery - MEDICAID - MICHIGAN
2/3/2026
6/24/2026 Orthognathic Surgery - MEDICAID - OKLAHOMA
2/3/2026
5/25/2026 Orthognathic Surgery - MEDICAID - SOUTH CAROLINA
2/3/2026
5/27/2026 Orthognathic Surgery - MEDICAID - VIRGINIA
2/3/2026
2/2/2026 Orthognathic Surgery - Medicare Advantage
1/13/2026
11/5/2025 Orthotics - MEDICAID - FLORIDA
6/3/2025
12/1/2025 Orthotics - MEDICAID - KENTUCKY
6/3/2025
6/3/2025 Orthotics - MEDICAID - SOUTH CAROLINA
6/3/2025
9/23/2026 Orthotics - MEDICAID - SOUTH CAROLINA
6/2/2026
7/1/2025 Orthotics - MEDICAID - VIRGINIA
6/3/2025
8/3/2026 Orthotics - Medicare Advantage
7/14/2026
7/1/2026 Osteochondral and Subchondral Defects Surgery - Medicare Advantage
6/9/2026
5/18/2026 Osteogenic Bone Growth Stimulators - MEDICAID - LOUISIANA
10/7/2025
1/24/2025 Outpatient Lactation Support Provider- In Lieu of Services (ILOS) - MEDICAID - LOUISIANA
10/1/2024
7/1/2026 Outpatient Rehabilitation (Skilled Therapy) - Medicare Advantage
6/9/2026
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