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Homocysteine Testing - Medical Clinical Policy Bulletins

    https://www.aetna.com/cpb/medical/data/700_799/0763.html
    Policy. Aetna considers homocysteine testing (measurements of plasma homocysteine) medically necessary for the following indications: Assessment of borderline vitamin B12 deficiency, where the results will impact the member's management (see CPB 0536 - …

Policies and procedures / Minnesota Department of …

    https://mn.gov/dhs/partners-and-providers/policies-procedures/index.jsp
    Get help with common policies and procedures for DHS partners and providers. Pages include links to manuals, bulletins, administrative updates, grants and requests for …

Blue Cross Blue Shield of Minnesota Medical Policy

    https://securecms.bluecrossmnonline.com/content/medpolicy/en/minnesota/core/all/policies/Medicine/II-163/II-163-008.html
    Blue Cross and Blue Shield of Minnesota medical policies apply generally to all Blue Cross and Blue Plus plans and products. Benefit plans vary in coverage and …

Blue Cross Blue Shield of Minnesota Medical Policy

    https://securecms.bluecrossmnonline.com/content/medpolicy/en/minnesota/core/all/policies/Medicine/II-29/II-29-012.html
    Medical management with acetaminophen, nonsteroidal anti-inflammatory agents (NSAIDS) or other analgesic medications for a minimum of 3 months unless there …

Homocysteine: Levels, Tests, High Homocysteine Levels …

    https://my.clevelandclinic.org/health/articles/21527-homocysteine
    Homocysteine. Homocysteine is an amino acid. Vitamins B12, B6 and folate break down homocysteine to create other chemicals your body needs. High homocysteine levels …

Full list of Medical Policies and Clinical Guidelines - Blue Cross MN

    https://provider.publicprograms.bluecrossmn.com/minnesota-provider/medical-policies-and-clinical-guidelines-full-list
    04/13/2022. Medical Policy. Ancillary, Miscellaneous. ANC.00009 Cosmetic and Reconstructive Services of the Trunk and Groin. 07/06/2022. Medical Policy. …

HCBS intensive services sample policies / Minnesota …

    https://mn.gov/dhs/partners-and-providers/licensing/hcbs-245d/intensive-services-sample-policies/
    245D licensed providers may use these sample policies and forms for intensive support services programs and modify them for their programs. Providers are responsible for …

Blue Cross Blue Shield of Minnesota Medical Policy

    https://securecms.bluecrossmnonline.com/content/medpolicy/en/minnesota/core/all/policies/Ancillary_Services/VII-05/VII-05-008.html
    Glucose Monitoring Devices with Implantable Sensors. FDA approved the Eversense® CGM system for use in patients 18 years of age and older with diabetes. …

Blue Cross Blue Shield of Minnesota Medical Policy

    https://securecms.bluecrossmnonline.com/content/medpolicy/en/minnesota/core/all/policies/Medicine/II-38/II-38-009.html
    Daily vaginal progesterone between 24 and 34 weeks of gestation. II. For women with a singleton pregnancy and a short cervix (less than 20 mm) the following …

Blue Cross Blue Shield of Minnesota Medical Policy

    https://securecms.bluecrossmnonline.com/content/medpolicy/en/minnesota/core/all/policies/Surgery/IV-129/IV-129-010.html
    Varithena™ formerly known as Varisolve® was approved by the FDA in 2013 under a new drug application. It is a 1% polidocanol injectable foam indicated for …



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