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Medical Coverage Policies
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Effective Date
Policy Name
Reviewed Date
2/2/2026
Capsule Endoscopy - Medicare Advantage
1/13/2026
8/3/2026
Cardiac Catheterization and Coronary Angiography - Medicare Advantage
7/14/2026
2/2/2026
Cardiac Computed Tomography (CT) - Medicare Advantage
1/13/2026
3/18/2026
Cardiac Devices - MEDICAID - INDIANA
7/1/2025
5/13/2026
Cardiac Devices - MEDICAID - KENTUCKY
7/1/2025
1/1/2026
Cardiac Devices - MEDICAID - MICHIGAN
7/1/2025
12/3/2025
Cardiac Devices - MEDICAID - OHIO
7/1/2025
7/8/2025
Cardiac Devices - MEDICAID - SOUTH CAROLINA
7/1/2025
3/9/2026
Cardiac Devices - MEDICAID - VIRGINIA
11/4/2025
8/3/2026
Cardiac Electrophysiological Studies and Cardiac Catheter Ablation - Medicare Advantage
7/14/2026
4/1/2026
Cardiac Magnetic Resonance Imaging (MRI) - Medicare Advantage
3/10/2026
2/2/2026
Cardiac Pacemakers - Medicare Advantage
1/13/2026
9/2/2026
Cardiac Stress Testing - MEDICAID - FLORIDA
5/5/2026
8/26/2026
Cardiac Stress Testing - MEDICAID - MICHIGAN
5/5/2026
8/26/2026
Cardiac Stress Testing - MEDICAID - SOUTH CAROLINA
5/5/2026
8/26/2026
Cardiac Stress Testing - MEDICAID - VIRGINIA
5/5/2026
5/1/2026
Cardiovascular Nuclear Imaging and Stress Testing - Medicare Advantage
4/14/2026
8/3/2026
Cardioverter Defibrillators/Cardiac Resynchronization Therapy - Medicare Advantage
7/14/2026
1/2/2026
Carotid Revascularization - Medicare Advantage
12/9/2025
8/3/2026
Carpal Tunnel Syndrome Surgical Treatments - Medicare Advantage
7/14/2026
8/3/2026
Chimeric Antigen Receptor (CAR) T-cell Therapy - Medicare Advantage
7/14/2026
7/20/2026
Chiropractic - In Lieu of Services (ILOS) - MEDICAID - LOUISIANA
10/7/2025
7/20/2026
Clinical Trials - MEDICAID - LOUISIANA
12/2/2025
1/1/2023
Cochlear Implant - MEDICAID - LOUISIANA
10/1/2024
9/23/2026
Cochlear Implant - MEDICAID - LOUISIANA
9/2/2025
12/1/2025
Code Compendium (Musculoskeletal and Neurologic) - Medicare Advantage
11/11/2025
11/3/2025
Cold and Heat Therapy Devices - Medicare Advantage
10/14/2025
8/31/2026
Colorectal Cancer Screening - Medicare Advantage
3/10/2026
7/1/2026
Community Behavioral Health Rehabilitative Services - MEDICAID - OHIO
6/2/2026
7/20/2026
Community Brief Crisis Support - MEDICAID - LOUISIANA
8/5/2025
1/1/2023
Community Psychiatric Support and Treatment (CPST) and Psychosocial Rehabilitation (PSR) - MEDICAID - LOUISIANA
5/15/2023
8/3/2026
Comprehensive Genomic Profiling and Multigene Panel Testing for Solid Tumors - Medicare Advantage
7/14/2026
9/1/2026
Computed Tomography Angiography (CTA) of the Abdominal Aorta - Medicare Advantage
8/11/2026
7/1/2026
Computed Tomography Angiography (CTA) of the Chest, Abdomen and Pelvis - Medicare Advantage
6/9/2026
4/1/2026
Computer Assisted Surgical Navigation for Musculoskeletal Procedures - Medicare Advantage
3/10/2026
5/18/2026
Continuous Subcutaneous Insulin External Infusion Pump - MEDICAID - LOUISIANA
9/2/2025
7/1/2026
Coronary CT Angiography, Fractional Flow Reserve with CT and Adjunctive Testing - Medicare Advantage
6/9/2026
3/2/2026
Cosmetic and Reconstructive Surgery - Medicare Advantage
2/10/2026
5/1/2026
Cranial Electrical Stimulation - Medicare Advantage
4/14/2026
7/8/2026
Craniosacral Therapy - MEDICAID - OKLAHOMA
3/3/2026
1/30/2026
Crisis Intervention-Follow Up - MEDICAID - LOUISIANA
7/1/2025
8/26/2026
Crisis Stabilization for Adults - MEDICAID - LOUISIANA
10/7/2025
1/1/2023
Crisis Stabilization for Children and Adolescents - MEDICAID - LOUISIANA
1/15/2025
8/3/2026
Cryoablation - Medicare Advantage
7/14/2026
1/30/2026
Cutaneous Vascular Lesion Removal - MEDICAID - INDIANA
9/2/2025
9/16/2026
Cutaneous Vascular Lesion Removal - MEDICAID - KENTUCKY
9/2/2025
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