AmeriHealth Medical Policies

		Policy #			Policy Bulletin Title
		05.00.53e			Airway-Clearance Devices for Use in the Home Setting
		05.00.39h			Ankle-Foot/Knee-Ankle-Foot Orthoses
		05.00.29f			Automatic External and Wearable Cardioverter Defibrillators
		05.00.16c			Blood Pressure Devices for Home Use
		05.00.09e			Bone Growth Stimulators
		05.00.61c			Cervical Traction for In-home Use
		05.00.37d			Compression Garments
		05.00.08c			Continuous Passive Motion (CPM) Devices in the Home Setting
		05.00.25e			Cranial Remolding Orthoses (Helmets)
		05.00.48f			Durable Medical Equipment (DME) Not Subject to a Rental to Purchase Maximum
		05.00.21i			Durable Medical Equipment (DME)
		05.00.05f			Equipment, Supplies, and Pharmaceuticals for the Treatment of Diabetes
		05.00.04b			Food and Drug Administration (FDA) Approval of Medical Devices
		05.00.35b			Foot Orthotics and Other Podiatric Appliances
		05.00.14f			High-Frequency Chest Wall Oscillation Devices
		05.00.69			Home-Use Light Box for the Treatment of Seasonal Affective Disorder (SAD)
		05.00.58e			Home Oxygen Therapy
		05.00.63b			Home Use of Interferential and Sequential Stimulation Devices
		05.00.65c			Home Uterine Activity Monitoring (HUAM) Devices
		05.00.56e			Hospital Beds and Accessories
		05.00.62d			Injectable Dermal Fillers
		05.00.24h			Interstitial Continuous Glucose Monitoring Systems (CGMSs)
		05.00.47g			Knee Braces
		05.00.59e			Lower Limb Prostheses
		05.00.12c			Manual Wheelchairs
		05.00.70			Mechanical Stretching Devices for the Treatment of Joint Stiffness or Contractures
		05.00.15m			Nebulizers
		05.00.38d			Negative Pressure Wound Therapy (NPWT) Systems
		05.00.73			Neuromuscular Electrical Stimulators (NMES) and Functional Electrical Stimulators (FES)
		05.00.30f			Noninvasive Respiratory Assist Devices (RADs): Continuous Positive Airway Pressure (CPAP) Devices and Bi-Level Devices
		05.00.50f			Ostomy Supplies
		05.00.42d			Patient Lifts
		05.00.01f			Pneumatic Compression Therapy Devices
		05.00.54d			Power Wheelchairs (PWCs), Power-Operated Vehicles (POVs), and Push-Rim Activated Power-Assist Devices
		05.00.60d			Pressure-Reducing Support Surfaces
		05.00.26b			Prothrombin Time Monitor for Home Anticoagulation Management
		05.00.31b			Pulse Oximetry Device in the Home Setting
		05.00.44f			Repair and Replacement of Durable Medical Equipment (DME)
		05.00.45f			Repair or Replacement of an External Prosthetic Device
		05.00.43d			Seat Lift Mechanisms
		05.00.32d			Speech- and Non-Speech-Generating Devices
		05.00.71a			Standing Frames
		05.00.11d			Therapeutic Shoes and Orthopedic Shoes
		05.00.72a			Upper-Limb Prostheses
		05.00.55g			Wheelchair Cushions and Seating
		05.00.67f			Wheelchair Options and Accessories