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Effective DatePolicy NameReviewed Date
7/20/2026 Pediatric Day Health Care - MEDICAID - LOUISIANA
9/2/2025
8/3/2026 Penile Prosthesis Implant for Erectile Dysfunction - Medicare Advantage
7/14/2026
8/3/2026 Percutaneous Coronary Intervention - Medicare Advantage
7/14/2026
2/2/2026 Percutaneous Vertebroplasty, Kyphoplasty, Sacroplasty - Medicare Advantage
1/13/2026
5/1/2026 Peripheral Artery Revascularization of the Lower Extremities - Medicare Advantage
4/14/2026
8/3/2026 Peripheral Nerve Stimulators - Medicare Advantage
7/14/2026
7/20/2026 Personal Care Services for Adults with Serious Mental Illness - MEDICAID - LOUISIANA
10/7/2025
9/16/2026 Pharmacogenomics Testing - MEDICAID - FLORIDA
4/7/2026
7/22/2026 Pharmacogenomics Testing - MEDICAID - INDIANA
4/7/2026
9/9/2026 Pharmacogenomics Testing - MEDICAID - KENTUCKY
4/7/2026
7/22/2026 Pharmacogenomics Testing - MEDICAID - MICHIGAN
4/7/2026
7/22/2026 Pharmacogenomics Testing - MEDICAID - SOUTH CAROLINA
4/7/2026
7/22/2026 Pharmacogenomics Testing - MEDICAID - VIRGINIA
4/7/2026
8/3/2026 Pharmacogenomics Testing - Medicare Advantage
7/14/2026
3/2/2026 Pneumatic Compression Devices - Medicare Advantage
2/10/2026
5/1/2026 Power Wheelchair Accessories - Medicare Advantage
4/14/2026
8/26/2026 Prostate Artery Embolization - MEDICAID - ILLINOIS
5/5/2026
8/26/2026 Prostate Artery Embolization - MEDICAID - INDIANA
5/5/2026
8/26/2026 Prostate Artery Embolization - MEDICAID - MICHIGAN
5/5/2026
5/1/2026 Prostate Radiation Therapy - Hypofractionation - Medicare Advantage
4/14/2026
7/1/2026 Prostatectomy - Medicare Advantage
6/9/2026
2/20/2026 Prosthetics - MEDICAID - FLORIDA
10/7/2025
5/13/2026 Prosthetics - MEDICAID - INDIANA
10/7/2025
10/7/2025 Prosthetics - MEDICAID - KENTUCKY
2/4/2025
2/11/2026 Prosthetics - MEDICAID - MICHIGAN
10/7/2025
6/15/2026 Prosthetics - MEDICAID - OHIO
9/2/2025
1/7/2026 Prosthetics - MEDICAID - OKLAHOMA
8/5/2025
2/11/2026 Prosthetics - MEDICAID - SOUTH CAROLINA
10/7/2025
2/11/2026 Prosthetics - MEDICAID - VIRGINIA
10/7/2025
9/1/2026 Prosthetics - Medicare Advantage
8/11/2026
3/2/2026 Proton Beam, Neutron Beam and Carbon Ion Radiation Therapy - Medicare Advantage
2/10/2026
9/1/2026 Psychiatric Inpatient Hospitalization - Medicare Advantage
8/11/2026
9/1/2026 Psychiatric Partial Hospital Program Services - Medicare Advantage
8/11/2026
2/2/2026 Psychological and Neuropsychological Testing - Medicare Advantage
1/13/2026
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