Medical Policy & Technology Assessment Committee Mptac

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ADMIN.00001 Medical Policy Formation - Anthem

https://www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_a044135.html

Jan 4, 2023

Georgia Medical Policy and Clinical Guideline updates

https://providernews.anthem.com/georgia/article/georgia-medical-policy-and-clinical-guideline-updates

The Medical Policy and Technology Assessment Committee (MPTAC) adopted the attached new and/or revised Medical Policies and Clinical Guidelines. Some …

Medical Policy and Clinical Guideline updates 1/1/2021

https://providernews.anthem.com/georgia/article/medical-policy-and-clinical-guideline-updates-112021

Additionally, as part of the Pre-Payment Review Program for commercial or Federal Employee Health Benefits Program (FEHBP) plans, Clinical Guidelines approved …

Provider Bulletin December 2022 Medical Policies …

https://providers.anthem.com/docs/gpp/VA_CAID_MPTACAug22.pdf

The Medical Policies, Clinical Utilization Management (UM) Guidelines, and Third-Party Criteria below were developed and/or revised to support clinical coding edits. Note, …

CG-REHAB-10 Site of Care: Outpatient Physical Therapy …

https://medpol.providers.amerigroup.com/dam/medpolicies/amerigroup/active/guidelines/gl_pw_c196852.html

Centers for Medicare & Medicaid Services (CMS). Pub. 100-02, Chapter 15, Section 220. Coverage of Outpatient Rehabilitation Therapy Services (Physical Therapy, …

Medical Policies and Clinical Utilization Management …

https://providers.anthem.com/docs/gpp/CA_CAID_PU_May2021MPTAC.pdf

Medical Policies and Clinical Utilization Management Guidelines update The Medical Policies, Clinical Utilization Management (UM) Guidelines and Third Party Criteria …

ADMIN.00005 Investigational Criteria

https://www.empireblue.com/dam/medpolicies/ebcbs/active/policies/mp_pw_a044153.html

In addition to the above criteria, the Medical Policy & Technology Assessment Committee (MPTAC) will consider recommendations of national physician specialty …

CG-MED-42 Maternity Ultrasound in the Outpatient Setting

https://medpol.providers.amerigroup.com/dam/medpolicies/amerigroup/active/guidelines/gl_pw_c159215.html

The 2021 CDC guideline on the treatment of sexually transmitted infections includes management recommendations for individuals who are diagnosed with text in …

CG-SURG-50 Assistant Surgeons

https://www.anthem.com/dam/medpolicies/abcbs/active/guidelines/gl_pw_c183133.html

Clinical guidelines approved by the Medical Policy & Technology Assessment Committee are available for general adoption by plans or lines of business for consistent …

ADMIN.00005 Investigational Criteria - Simply Healthcare Plans

https://provider.simplyhealthcareplans.com/dam/medpolicies/simply/active/policies/mp_pw_a044153.html

In addition to the above criteria, the Medical Policy & Technology Assessment Committee (MPTAC) will consider recommendations of national physician …

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