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.
For a summary of pharmacy updates, please visit Provider news.
For current clinical and pharmacy policies, please visit: Clinical, Pharmacy and Payment policies.
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.BH.300- Biofeedback for Behavioral Disorders (PDF)
CP.MP.150 - Phototherapy for Neonatal Hyperbilirubinemia (PDF)
CP.MP.86 - Neonatal Abstinence Syndrome Guidelines (PDF)
CP.MP.247 Transplant Service Documentation Requirements (PDF)
CP.MP.253 Unproven Procedures (PDF)
HIM.CP.MP.395 Coverage for Gender-Affirming Procedures (PDF)
CC.PP.206 Skilled nursing facility leveling (PDF)
AR.CP.MP.502 Acquired Brain Injury outpatient services (PDF)
ASAM 4th Edition for Youth/Adolescents
CP.MP.54 - Hospice Services (PDF)
CP.MP.107 - Durable Medical Equipment and Orthotics and Prosthetics Guidelines (PDF)
CP.MP.249 - Allogeneic Hematopoietic Progenitor Cell Therapy (PDF)
AR.CP.MP.31 - Cosmetic and Reconstructive Procedures (PDF)
AMB26-AR-H-182 Clinical Policy Cosmetic and Reconstructive Procedures (PDF)