Effective April 9, 2023, AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey, and AmeriHealth Administrators updated their medical policy on high-technology radiology services for Commercial members.
Carelon Medical Benefits Management (formerly AIM Specialty Health®) has revised their clinical appropriateness guidelines for advanced imaging regarding the brain, head and neck, chest, abdomen/pelvis, oncologic, and heart.
For a detailed summary of the changes, see the specific radiology and cardiology guidelines, which became effective on April 9, 2023.
For more information, please view #09.00.46an: High-Technology Radiology Services, which was published on April 10, 2023.