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.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)
CP.MP.38 - Ulltrasound in pregnancy (PDF)
CP.MP.91 - Obstetrical Home Care Programs (PDF)
AR.CP.MP.37 - Bariatric Surgery (PDF)
CP.MP.101 - Donor Lymphocyte Infusion (PDF)
CP.MP.146 - Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins (PDF)
CP.MP.160 - Implantable Wireless Pulmonary Artery Pressure Monitoring (PDF)
CP.MP.170 - Nerve Blocks and Neurolysis for Pain Management (PDF)
CP.MP.176 - Outpatient Cardiac Rehabilitation (PDF)
V2.2025 - Concert Genetic Testing: Prenatal Diagnosis (PDF)
V2.2025 - Concert Genetic Testing: General Approach to Genetic and Molecular Testing (PDF)
V2.2025 - Concert Genetic Testing: Immunology and Rheumatology (PDF)
V2.2025 - Concert Genetic Testing: Prenatal and Preconception Carrier Screening (PDF)
V2.2025 - Concert Genetic Testing: Nephrology (PDF)
V2.2025 - Concert Genetic Testing: Ophthalmology (PDF)
V2.2025 - Concert Genetic Testing: Dermatology (PDF)
V2.2025 - Concert Genetic Testing: Endocrinology (PDF)
V2.2025 - Concert Genetic Testing: Hematology (PDF)
V2.2025 - Concert Genetic Testing: Otolaryngology (PDF)
V2.2025 - Concert Genetic Testing: Orthopedics (PDF)
V2.2025 - Concert Genetic Testing: Respiratory (PDF)
V2.2025 - Concert Genetic Testing: Toxicology and Pharmacogenetics Version B (PDF)
V2 2025 - Concert Genetic Testing: Oncology Cancer Screening and Surveillance (PDF)
AR.CP.MP.184- Home Ventilators (PDF)
CP.BH.104 - Applied Behavior Analysis (PDF)
CP.BH.105 - ABA Documentation Policy (PDF)
CP.BH.200 - Transcranial Magnetic Stimulation for Treatment Resistant Major Depression (PDF)
CP.MP.132 - Heart-Lung Transplant (PDF)
CP.MP.181 - Polymerase Chain Reaction Respiratory Viral Panel Testing (PDF)
CP.MP.242 - Pulmonary Function Testing (PDF)
CP.MP.252 - Immobilized Lipase Cartridges (Relizorb) (PDF)
CP.MP.57 - Lung Transplantation (PDF)
CP.MP.97 - Testing for Select Genitourinary Conditions (PDF)