Active Notifications
The notifications listed below represent new policy versions that are scheduled to become active on the intended Policy Effective Date. These notifications allow you to become familiar with the new policy version in advance of its release. Please check back frequently as notifications are posted often.

Note: The documents below are strictly notifications of future policy updates. The positions and criteria addressed in the notification are not enforced until the Policy Effective Date. To view current company policies, go to the Policy Bulletins section of this site or click here.

 


Policy Effective Date
Notification Title
Notification Issue Date
Hide details for 06/15/202006/15/2020
Artificial Intervertebral Disc Insertion
03/11/2020
Denervation of the Spinal Nerves for Chronic Pain
03/11/2020
Epidural, Paravertebral Facet, and Sacroiliac Joint Injections for Spinal Pain Management
03/11/2020
Hide details for
Meniscal Allograft Transplantation and Meniscal Implants
03/11/2020
Attachment A (ICD-10-CM codes) to 11.14.03g Meniscal Allograft Transplantation and Meniscal Implants
Hide details for
Musculoskeletal Services (AmeriHealth)
03/11/2020
Attachment A (Procedure Codes for Spinal Surgery) to 00.01.66c Musculoskeletal Services (AmeriHealth)
Attachment B (Procedure Codes for Joint Surgery) to 00.01.66c Musculoskeletal Services (AmeriHealth)
Attachment C (Procedures Codes for Interventional Pain Management) to 00.01.66c Musculoskeletal Services (AmeriHealth)
Hide details for
Reimbursement for Components of Comprehensive Laboratory Panels
05/15/2020
Attachment A (CPT Codes) to 00.01.61a Reimbursement for Components of Comprehensive Laboratory Panels
Spinal Cord and Dorsal Root Ganglion Stimulation
03/11/2020
Spinal Discectomy
03/11/2020
Spinal Fusion
03/11/2020
Spinal Laminectomy
03/11/2020
Hide details for 06/29/202006/29/2020
Hide details for
Pralatrexate (Folotyn®) for Injection
05/27/2020
Attachment A (ICD-10 Codes Eligible to be Reported for Pralatrexate (Folotyn®) for Injection) to 08.00.83h Pralatrexate (Folotyn®) for Injection
Hide details for 07/01/202007/01/2020
Hide details for
eviCore Lab Management Program (AmeriHealth)
06/01/2020
Attachment A (Procedure Codes Requiring Precertification/Preapproval and Prepayment Review) to 06.02.52q eviCore Lab Management Program (AmeriHealth)
Attachment B (Procedure Codes Requiring Prepayment Review) to 06.02.52q eviCore Lab Management Program (AmeriHealth)
Hide details for
Preventive Care Services (AmeriHealth)
04/01/2020
Attachment A (Adult Preventive Services) to 00.06.02ac Preventive Care Services (AmeriHealth)
Attachment B (Female Preventive Care Services) to 00.06.02ac Preventive Care Services (AmeriHealth)
Attachment C (Pediatric Preventive Care Services) to 00.06.02ac Preventive Care Services (AmeriHealth)
Attachment D (ADDITIONAL PREVENTIVE SERVICES FOR MEMBERS ENROLLED IN NJ PLANS) to 00.06.02ac Preventive Care Services (AmeriHealth)
Hide details for 08/16/202008/16/2020
Hide details for
High-Technology Radiology Services (AmeriHealth)
05/18/2020
Attachment A (High-Technology Radiology Services Code List ) to 09.00.46ab High-Technology Radiology Services (AmeriHealth)