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Medical Necessity Criteria - Cigna

    https://www.cigna.com/static/www-cigna-com/docs/health-care-providers/medicalnecessitycriteria.pdf
    Medical Necessity Criteria - Cigna

CIGNA STANDARDS AND GUIDELINES/MEDICAL …

    https://static.cigna.com/assets/chcp/pdf/resourceLibrary/behavioral/cigna-standards-and-guidelines-medical-necessity-criteria-2019-Edition.pdf
    In the development of our Medical Necessity Criteria for Treatment of Mental Health and Substance Use Disorders, Cigna has listened to the messages and feedback from …

Access Coverage Policies | Cigna

    https://www.cigna.com/health-care-providers/coverage-and-claims/policies/
    Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are …

CHCP - Resources - Coverage Policies - Cigna

    https://static.cigna.com/assets/chcp/resourceLibrary/coveragePolicies/index.html

    Cigna Standards and Guidelines

      https://static.cigna.com/assets/chcp/pdf/resourceLibrary/behavioral/cigna-standards-and-guidelines-medical-necessity-criteria-2020-Edition.pdf
      Cigna Standards and Guidelines

    Drug and Biologic Medical Necessity (Injectables)

      https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ph_2027_coveragepositioncriteria_drug_and_biologic_medical_necessity_injectables_medical_benefits.pdf
      When coverage is available and medical necessary, the dosage, frequency, duration of therapy, and site of administration should be reasonable, clinically appropriate, and …

    Cigna Healthcare Coverage Policies | Cigna

      https://www.cigna.com/legal/members/member-rights-and-responsibilities/cigna-health-care-policies
      Medical Technology Assessment: The Cigna Medical Technology Assessment process evaluates emerging and evolving technologies to help ensure that our members …

    Formulary Exception Criteria for Non-Covered …

      https://static.cigna.com/assets/chcp/pdf/coveragePolicies/cnf/cnf_002_coveragepositioncriteria_formulary_exception_fe.pdf
      Cigna covers these drugs or biologics as medically necessary when the following criteria are met: • [see Product-Specific Exception Criteria] Approval duration is 12 months …

    Drug and Biologic Coverage Policy - Cigna

      https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ip_0179_coveragepositioncriteria_romosozumab.pdf
      When coverage is available and medically necessary, the dosage, frequency, duration of therapy, and site of care should be reasonable, clinically appropriate, and supported by …



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