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Provider Policy Notifications

This page contains notifications for clinical policies that have future effective dates. For current policies, visit the Clinical Policies page.

Policies effective 11/1/2026

Fetal Surgery in Utero for Prenatally Diagnosed Malformations (PDF) (CP.MP.129)
Hospice Services (PDF) (CP.MP.54)
Pediatric Liver Transplant (PDF) (CP.MP.120)
Physical, Occupational and Speech Therapy Services (PDF) (CP.MP.49)

Policies effective 1/1/2027

Neonatal Abstinence Syndrome Guidelines (PDF) (CP.MP.86)
Posterior Tibial Nerve Stimulation for Voiding Dysfunction (PDF) (CP.MP.133)

Policies effective 11/1/2026

Fetal Surgery in Utero for Prenatally Diagnosed Malformations (PDF) (CP.MP.129)
Pediatric Liver Transplant (PDF) (CP.MP.120)
Physical, Occupational and Speech Therapy Services (PDF) (CP.MP.49)
Skin Substitutes for Chronic Wounds (PDF) (CP.MP.185)
Sleep Apnea Diagnosis and Treatment (PDF) (WA.CP.MP.248)

Policies effective 1/1/2027

HRSN - Intensive Behavioral Supportive Supervision (PDF) (WA.CP.BH.528)
Neonatal Abstinence Syndrome Guidelines (PDF) (CP.MP.86)