United Healthcare Medical Policy Updates – May 2018

United Healthcare Medical Policy Updates
United Healthcare Medical Policy Updates

Click here to view the United Healthcare Medical Policy Updates »

May 2018 Medical Policy Updates:

UPDATED

  • Carrier Testing for Genetic Diseases – Effective Ju1. 1, 2018
  • Hepatitis Screening – Effective Jun. 1, 2018
  • Intrauterine Fetal Surgery – Effective May 1, 2018
  • Macular Degeneration Treatment Procedures – Effective Jun. 1, 2018
  • Molecular Oncology Testing for Cancer Diagnosis, Prognosis, and Treatment Decisions – Effective Jul. 1, 2018
  • Occipital Neuralgia and Headache Treatment – Effective Jun. 1, 2018
  • Prolotherapy for Musculoskeletal Indications – Effective May 1, 2018
  • Transpupillary Thermotherapy – Effective May 1, 2018

REVISED

  • Gastrointestinal Motility Disorders, Diagnosis and Treatment – Effective Jun. 1, 2018
  • Manipulative Therapy – Effective Jun. 1, 2018

RETIRED

  • None

 

Medical Benefit Drug Policy Updates:

NEW

  • Crysvita® (Burosumab-Twza) – Effective May 1, 2018

UPDATED

  • Benlysta® (Belimumab) – Effective May 1, 2018
  • Entyvio® (Vedolizumab) – Effective May 1, 2018
  • Radicava™ (Edaravone) – Effective May 1, 2018
  • Vaccines – Effective May 1, 2018

REVISED

  • None

 

Coverage Determination Guideline (CDG) Updates:

UPDATED

  • Cosmetic and Reconstructive Procedures – Effective Jun. 1, 2018
  • Gynecomastia Treatment – Effective May 1, 2018

REVISED

  • Ambulance Services – Effective Jun. 1, 2018
  • Durable Medical Equipment, Orthotics, Ostomy Supplies, Medical Supplies and Repairs/Replacements – Effective Jun. 1, 2018
  • Preventive Care Services – Effective Jun. 1, 2018

 

Utilization Review Guideline (URG) Updates

UPDATED

  • Site of Service Guidelines for Certain Outpatient Surgical Procedures – Effective May 1, 2018

REVISED

  • None

REVISED

  • None

 

Click here to view the United Healthcare Medical Policy Updates »

 

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