All policies are posted prior to their
effective date. Below is a listing of the policy notifications that we have
posted to our website as of March 28, 2013.
|
Policy
effective date
|
Policy
No.
|
Notification
title
|
Notification
issue date
|
|
March 29, 2013
|
08.01.05
|
Carfilzomib (Kyprolis?)
|
February 27, 2013
|
|
March 29, 2013
|
08.01.09
|
Omacetaxine mepesuccinate
(Synribo?)
|
February 27, 2013
|
|
April 1, 2013
|
05.00.58f
|
Home Oxygen Therapy
|
February 28, 2013
|
|
April 1, 2013
|
09.00.53
|
Magnetic Resonance Imaging (MRI) for
Monitoring the Integrity of Silicone-Gel-Filled Breast Implants in Asymptomatic
Individuals
|
March 1, 2013
|
|
April 2, 2013
|
11.14.08c
|
Orthognathic Surgery
|
January 2, 2013
|
|
April 2, 2013
|
08.00.81b
|
Bendamustine Hydrochloride
(Treanda?)
|
January 2, 2013
|
|
April 2, 2013
|
11.14.03e
|
Meniscal Allograft
Transplantation
|
January 2, 2013
|
|
April 4, 2013
|
08.00.25g
|
Treatment of Pulmonary Artery
Hypertension with Intravenous, Subcutaneous, and Inhaled Pharmacologic Agents
Intended for Home Use
|
January 4, 2013
|
|
April 16, 2013
|
07.02.07g
|
Ambulatory, Real-Time Cardiac
Surveillance System
|
January 16, 2013
|
|
April 16, 2013
|
11.05.02g
|
Blepharoplasty, Repair of
Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexy
|
January 16, 2013
|
|
April 17, 2013
|
11.15.09d
|
Denervation of the Spinal Nerves for
Chronic Facet Pain
|
January 17, 2013
|
|
May 11, 2013
|
11.14.25a
|
Total Ankle
Arthroplasty/Replacement
|
March 13, 2013
|
To view the policy notifications, visit
our Medical
Policy portal, select Accept and Go to Medical Policy Online,
and click on the Policy Notifications box. You can also view policy
notifications using the NaviNet® web portal by selecting
Reference Tools from the Plan Transactions menu, then Medical
Policy. Once these policies are in effect, they will be available by using
the Search box on the Medical Policy homepage. Be sure to check back often, as
the site is updated frequently.
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