Ambetter Clinical Coverage/Medical Policy Updates
Ambetter from Arkansas Health & Wellness updates a select number of clinical coverage policies each month, ensuring the reviewal of all policies on an annual basis.
Provider Notification
Ambetter from Arkansas Health and Wellness is amending or implementing new policies. Please see the table below for a list of these policies and their effective dates.
CP.MP.185 - Skin and Soft Tissue Substitutes for Chronic Wounds (PDF)
CP.MP.188 - Pediatric Oral Function Therapy (PDF)
CP.MP.247 - Transplant Service Documentation Requirements (PDF)
CP.MP.248 - Facility-based Sleep Studies for Obstructive Sleep Apnea (PDF)
AR.V2.2025 Concert Genetic Testing Oncology: Cancer Screening and Surveillance
CC.PP.073 Sepsis Diagnosis
CP.MP.100 Allergy Testing and Therapy
CP.MP.106 Endometrial Ablation
CP.MP.110 Bronchial Thermoplasty
CP.MP.121 Homocysteine Testing
CP.MP.123 Name Excimer Laser Therapy for Skin Conditions
CP.MP.130 Fertility Preservation
CP.MP.134 Evoked Potential Testing
CP.MP.139 Low-Frequency Ultrasound and Noncontact Normothermic Wound Therapy
CP.MP.141 Nonmyeloablative Allogeneic Stem Cell Transplants
CP.MP.143 Wireless Motility Capsule
CP.MP.152 Measurement of Serum 1,25-dihydroxyvitamin
DCP.MP.153 Helicobacter Pylori Serology Testing
CP.MP.154 Thyroid Hormones and Insulin Testing in Pediatrics
CP.MP.155 EEG in the Evaluation of Headache
CP.MP.156 Cardiac Biomarker Testing
CP.MP.163 Total Parenteral Nutrition and Intradialytic Parenteral Nutrition
CP.MP.180 Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea
CP.MP.249 Allogeneic Hematopoietic Progenitor Cell Therapy
CP.MP.36 Experimental Technologies
CP.MP.40 Gastric Electrical Stimulation
CP.MP.50 Drugs of Abuse Definitive Testing
V2 2025 Concert Genetic Testing: CG Multisystem Genetic Conditions
V2.2025 Concert Genetic Testing: Prenatal Diagnosis
V2.2025 Concert Genetic Testing: General Approach to Genetic and Molecular Testing
V2.2025 Concert Genetic Testing: Immunology and Rheumatology
V2.2025 Concert Genetic Testing: Prenatal and Preconception Carrier Screening
V2.2025 Concert Genetic Testing: Nephrology
V2.2025 Concert Genetic Testing: Ophthalmology
V2.2025 Concert Genetic Testing: Dermatology
V2.2025 Concert Genetic Testing: Endocrinology
V2.2025 Concert Genetic Testing: Hematology
V2.2025 Concert Genetic Testing: Otolaryngology
V2.2025 Concert Genetic Testing: Orthopedics
V2.2025 Concert Genetic Testing: Respiratory
V2.2025 Concert Genetic Testing: Toxicology and Pharmacogenetics Version B
V2.2025 Concert Genetic Testing: Identity and Forensics
V2.2025 Concert Genetic Testing Oncology: Hematologic Malignancy
V2.2025 Concert Genetic Testing: Hereditary Cancer
V2.2025 Concert Genetic Testing: Preimplantation Genetic Testing
V2.2025 Concert Genetic Testing Oncology: Solid Tumor Molecular Diagnostics
V2.2025 Concert Genetic Testing: Neurology
V2.2025 Concert Genetic Testing: Nutrition and Metabolism
V2.2025 Concert Genetic Testing Oncology: Algorithmic Assays
V2.2025 Concert Genetic Testing: Cardiovascular
V2.2025 Concert Genetic Testing: Gastroenterology
V2.2025 Concert Genetic Testing: Prenatal Screening
V2.2025 Concert Genetic Testing: Transplant
V2.2025 Concert Genetic Testing: Multisystem Genetic Conditions
CP.MP.185 - Skin and Soft Tissue Substitutes for Chronic Wounds (PDF)
CP.BH.105 - Applied Behavioral Analysis Documentation Requirements (PDF)
CP.MP.124 - Attenmtion Deficit Hyperactivity disorder and treatment (PDF)
CP.MP.117 - Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation (PDF)
CP.MP.174 - Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy (PDF)
CP.MP.180 - Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (PDF)
CP.MP.185 - Skin and Soft Tissue Substitutes for Diabetic Foot Ulcers and Venous Leg Ulcers (PDF)
CP.MP.190 - Outpatient Oxygen Use (PDF)