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.
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)
CP.MP.127 - Total Artificial Heart (PDF)
CP.MP.137 - Fecal Incontinence Treatments (PDF)
CP.MP.194 - Osteogenic Stimulation (PDF)
CP.MP.94 - Clinical Trials (PDF)
CP.MP.171 - Facet Joint Interventions (PDF)
CP.MP.120 - Pediatric Liver Transplant (PDF)
CP.MP.129 - Fetal Surgery in Utero for Prenatally Diagnosed Malformations (PDF)
CP.MP.164 - Caudal or Interlaminar Epidural Steroid Injections (PDF)
CP.MP.49 - Physical, Occupational, and Speech Therapy Services (PDF)