Category Filter
Policies & Guidelines
- Advanced Imaging
- Autism Spectrum Mandate
- Behavioral Health
- Blue Advantage Policies
- Chronic Condition Management
- Genetic Testing
- HelpScript Program
- Hemophilia Drugs
- Medical Oncology Regimen Program
- Medical Policies
- Pharmacy
- Pre-Service Review (Precertification and Predetermination)
- Pre-Service Review (Precertification/Predetermination)
- Pre-Service Review (Predetermination/Precertification)
- Provider-Administered Drug Policies
- Radiation Therapy
- Self-Administered Drug Policies
- Transgender Services
Asset Publisher
Content with Policies & Guidelines Therapy .
print
Print
Back
Back
Sympathetic Therapy and Bioelectrical Nerve Block or Electroanalgesic Nerve Block for...
print
Print
COPES Scoliosis Treatment Recovery System
Policy Number: MP-019
Latest Review Date: June 2024
Category: Therapy
Â
POLICY:
COPES...
print
Print
Monochromatic Infrared Energy System
Policy Number: MP-037
Latest Review Date: August 2024
Category: Physical Therapy...
print
Print
Back
Back
Treatment of Hyperhidrosis (Excluding Botox)
Policy Number: MP-086
Refer to pharmacy...
print
Print
Sensory Stimulation for Brain-Injured Individuals in Coma or Vegetative State
Policy Number: MP-139
Latest Review Date: October 2024
Category: ...
print
Print
Manipulation under Anesthesia for Treatment of Chronic Spinal or Pelvic Pain
Policy Number: MP-154
Latest Review Date: May 2025
Category: Therapy ...
print
Print
Back
Back
Constraint-Induced Movement or Language Therapy
Policy Number: MP-188
Latest Review...
print
Print
Back
Back
Spinal Manipulation of Non-Neuromusculoskeletal Conditions
Policy Number: MP-240
Latest...
print
Print
Back
Back
Hippotherapy
Policy Number: MP-427
Latest Review Date: March 2025
Category:...
print
Print
Inhaled Nitric Oxide
Policy Number: MP-440
Latest Review Date: May 2024
Category: Medicine
POLICY:
Inhaled nitric oxide may be considered medically necessary...
print
Print
Vertebral Axial Decompression
Policy Number: MP-484
Latest Review Date: April 2025
Category: Therapy
POLICY:
Vertebral axial decompression is considered...
print
Print
Back
Back
Cognitive Rehabilitation
Policy Number: MP-600
Latest Review Date: March 2024
...
print
Print
Back
Back
Dry Hydrotherapy for Chronic Pain Conditions
Policy Number: MP-749
Latest Review Date:...
print
Print
Back
Back
High Intensity Laser Therapy for Chronic Pain Conditions
Policy Number: MP-763
Latest...