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Effective DatePolicy NameReviewed Date
6/1/2026 Serological and Fecal Testing for Inflammatory Bowel Disease - Medicare Advantage
5/12/2026
8/3/2026 Shoulder Arthroplasty - Medicare Advantage
7/14/2026
9/11/2026 Shoulder Arthroscopy - Medicare Advantage
8/28/2026
5/1/2026 Single Gene and Molecular Biomarker Testing for Solid Tumors - Medicare Advantage
4/14/2026
4/1/2026 Sinonasal and Eustachian Tube Surgical Procedures - Medicare Advantage
3/10/2026
11/12/2025 Skin and Tissue Substitutes - MEDICAID - LOUISIANA
2/4/2025
6/22/2026 Skin and Tissue Substitutes - MEDICAID - FLORIDA
2/3/2026
5/22/2026 Skin and Tissue Substitutes - MEDICAID - ILLINOIS
2/3/2026
5/20/2026 Skin and Tissue Substitutes - MEDICAID - INDIANA
2/3/2026
8/12/2026 Skin and Tissue Substitutes - MEDICAID - KENTUCKY
2/3/2026
6/5/2026 Skin and Tissue Substitutes - MEDICAID - MICHIGAN
2/3/2026
7/22/2026 Skin and Tissue Substitutes - MEDICAID - OHIO
2/3/2026
5/25/2026 Skin and Tissue Substitutes - MEDICAID - SOUTH CAROLINA
2/3/2026
5/27/2026 Skin and Tissue Substitutes - MEDICAID - VIRGINIA
2/3/2026
9/1/2026 Skin and Tissue Substitutes - Medicare Advantage
8/11/2026
2/2/2026 Skysona (elivaldogene autotemcel) - Medicare Advantage
1/13/2026
12/1/2025 Special Stains - Medicare Advantage
11/11/2025
5/12/2026 Spinal Cord Stimulators - Medicare Advantage
5/12/2026
9/16/2026 Spinal Decompression Surgery - MEDICAID - FLORIDA
4/7/2026
7/22/2026 Spinal Decompression Surgery - MEDICAID - INDIANA
4/7/2026
7/22/2026 Spinal Decompression Surgery - MEDICAID - MICHIGAN
4/7/2026
8/5/2026 Spinal Decompression Surgery - MEDICAID - OHIO
4/7/2026
7/29/2026 Spinal Decompression Surgery - MEDICAID - OKLAHOMA
4/7/2026
7/22/2026 Spinal Decompression Surgery - MEDICAID - SOUTH CAROLINA
4/7/2026
7/22/2026 Spinal Decompression Surgery - MEDICAID - VIRGINIA
4/7/2026
2/2/2026 Spinal Decompression Surgery - Medicare Advantage
1/13/2026
9/16/2026 Spinal Fusion and Stabilization Surgery - MEDICAID - FLORIDA
3/3/2026
6/17/2026 Spinal Fusion and Stabilization Surgery - MEDICAID - INDIANA
3/3/2026
8/5/2026 Spinal Fusion and Stabilization Surgery - MEDICAID - KENTUCKY
3/3/2026
6/17/2026 Spinal Fusion and Stabilization Surgery - MEDICAID - MICHIGAN
3/3/2026
7/22/2026 Spinal Fusion and Stabilization Surgery - MEDICAID - OHIO
3/3/2026
6/24/2026 Spinal Fusion and Stabilization Surgery - MEDICAID - OKLAHOMA
3/3/2026
6/17/2026 Spinal Fusion and Stabilization Surgery - MEDICAID - SOUTH CAROLINA
3/3/2026
6/17/2026 Spinal Fusion and Stabilization Surgery - MEDICAID - VIRGINIA
3/3/2026
9/1/2026 Spinal Fusion Surgery - Medicare Advantage
8/11/2026
2/2/2026 Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy - Medicare Advantage
1/13/2026
7/1/2026 Substance Use Disorder Inpatient Services - Medicare Advantage
6/9/2026
7/1/2026 Substance Use Disorder Intensive Outpatient Program - MEDICAID - OHIO
6/2/2026
3/9/2026 Superficial Radiation Therapy - MEDICAID - MICHIGAN
11/4/2025
3/9/2026 Superficial Radiation Therapy - MEDICAID - SOUTH CAROLINA
11/4/2025
3/9/2026 Superficial Radiation Therapy - MEDICAID - VIRGINIA
11/4/2025
8/3/2026 Superficial Radiation Therapy - Medicare Advantage
7/14/2026
4/6/2026 Superficial Radiation Treatment - MEDICAID - FLORIDA
11/4/2025
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