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 7/1/2025
Policies effective 8/1/2025
- Assisted Reproductive Technology (PDF) (CP.MP.55)
- Deep Transcranial Magnetic Stimulation (TMS) for OCD (PDF) (CP.BH.201)
- Heart-Lung Transplant (PDF) (CP.MP.132)
- Intensity-Modulated Radiotherapy (PDF) (WA.CP.MP.69)
- Lung Transplantation (PDF) (CP.MP.57)
- Testosterone Testing (PDF) (WA.CP.MP.517)
- Tympanostomy Tubes (PDF) (WA.CP.MP.520)
Policies effective 9/1/2025
- Behavioral Health Treatment Documentation Requirements (PDF) (HIM.CP.BH.500)
- Cardiac Stents (PDF) (WA.CP.MP.513)
- Cochlear Implants (PDF) (WA.CP.MP.502)
- Microprocessor-Controlled Lower Limb Prosthetics (PDF) (WA.CP.MP.505)
- Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention (PDF) (CP.MP.147)
- Skin Substitutes for Chronic Wounds (PDF) (CP.MP.185)
- Transplant Service Documentation Requirements (PDF) (CP.MP.247)
Policies effective 7/1/2025
Policies effective 8/1/2025
- Heart-Lung Transplant (PDF) (CP.MP.132)
- Intensity-Modulated Radiotherapy (PDF) (WA.CP.MP.69)
- Lung Transplantation (PDF) (CP.MP.57)
- Testosterone Testing (PDF) (WA.CP.MP.517)
- Tympanostomy Tubes (PDF) (WA.CP.MP.520)
Policies effective 9/1/2025
- Behavioral Health Treatment Documentation Requirements (PDF) (CP.BH.500)
- Cardiac Stents (PDF) (WA.CP.MP.513)
- Cochlear Implants (PDF) (WA.CP.MP.502)
- Microprocessor-Controlled Lower Limb Prosthetics (PDF) (WA.CP.MP.505)
- Skin Substitutes (PDF) (WA.CP.MP.185)
- Transplant Service Documentation Requirements (PDF) (CP.MP.247)