Medical Policy & Technology Assessment Committee

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

To view Medical Policies and UM Guidelines applicable to members enrolled in the Blue Cross and Blue Shield Service Benefit Plan (commonly referred to as …

Medical Policy and Clinical Guideline updates 1/1/2021

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

Please note our medical policies now include NOC (Not Otherwise Classified) codes to expedite the process of determining services that may require medical review. If …

Experimental Procedures | Providers | Excellus …

https://provider.excellusbcbs.com/policies/experimental

The Excellus Medical Policy Technology Assessment Committee is comprised of Excellus BlueCross BlueShield Medical Directors and practicing board-certified …

HTA 101: Introduction to Health Technology Assessment

https://www.nlm.nih.gov/nichsr/hta101/ta10103.html

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 …

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 …

Health Technology Clinical Committee - Washington

https://www.hca.wa.gov/about-hca/programs-and-initiatives/health-technology-assessment/health-technology-clinical-committee

The following criteria is evaluated during member selection: Length and type of clinical experience. Clinical experience relevance to health technology. Experience on …

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 below …

ADMIN.00004 Medical Necessity Criteria - empireblue.com

https://www.empireblue.com/dam/medpolicies/ebcbs/active/policies/mp_pw_a044145.html

Medical Policy, which addresses medical efficacy, should be considered before utilizing medical opinion in adjudication. Medical technology is constantly …