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.249 - Allogeneic Hematopoietic Progenitor Cell Therapy (PDF)
CP.MP.127 - Total Artificial Heart (PDF)
CP.MP.137 - Fecal Incontinence Treatments (PDF)
CP.MP.51 - Reduction Mammoplasty and Gynecomastia Surgery (PDF)
AR.CP.MP.501 - ABI (subacute and chronic) Inpatient Neurorehabilitation (PDF)
CP.VP.06 - Medically Necessary Hardware (PDF)
CP.VP.13 - Preventive (Routine) Eye Examination (PDF)
CP.VP.13 - Attachment A Refractive Hardware (PDF)
CP.VP.14 - Scanning Computerized Ophthalmic Diagnostic Imaging (PDF)
CP.VP.26 - Extended Ophthalmoscopy (PDF)
CP.VP.28 - Fluorescein Angiography (PDF)
CP.VP.29 - Fundus Photography (PDF)
CP.VP.31 - Gonioscopy (PDF)
CP.VP.43 - External Ocular Photography (PDF)
CP.VP.63 - Visual Field Testing (PDF)
CP.MP.108 - Allogeneic Hemapoietic Cell Transplants for SCA and Beta Thalassemia (PDF)
CP.MP.109 - Panniculectomy (PDF)
CP.MP.138 - Pediatric Heart Transplant (PDF)
CP.MP.251 - Radiation Therapy for Skin Cancer (PDF)
CP.MP.36 - Experimental Technologies (PDF)
CP.MP.31 - Cosmetic and Reconstructive Procedures (PDF)