AmeriHealth Medical Policies

		Policy #			Policy Bulletin Title
		05.00.53d			Airway-Clearance Devices for Use in the Home Setting
		05.00.39f			Ankle-Foot/Knee-Ankle-Foot Orthoses
		05.00.29d			Automatic External and Wearable Cardioverter Defibrillators
		05.00.16c			Blood Pressure Devices for Home Use
		05.00.09d			Bone Growth Stimulators
		05.00.61c			Cervical Traction for In-home Use
		05.00.57a			Clitoral Therapy Devices (CDT)
		05.00.37c			Compression Garments
		05.00.08c			Continuous Passive Motion (CPM) Devices in the Home Setting
		05.00.25e			Cranial Remolding Orthoses (Helmets)
		05.00.48d			Durable Medical Equipment (DME) Not Subject to a Rental to Purchase Maximum
		05.00.21f			Durable Medical Equipment (DME)
		05.00.23b			Electronic Speech Aids
		05.00.05f			Equipment, Supplies, and Pharmaceuticals for the Treatment of Diabetes
		05.00.46d			External Breast Prostheses, Mastectomy Bras, and Post-Mastectomy Camisoles
		05.00.04b			Food and Drug Administration (FDA) Approval of Medical Devices
		05.00.35b			Foot Orthotics and Other Podiatric Appliances
		05.00.49a			Hearing Aid Devices, Testing, Fittings, and Accessories
		05.00.14e			High-Frequency Chest Wall Oscillation Devices
		05.00.69			Home-use Light Box for the Treatment of Seasonal Affective Disorder (SAD)
		05.00.58d			Home Oxygen Therapy
		05.00.63a			Home Use of Interferential and Sequential Stimulation Devices
		05.00.65c			Home Uterine Activity Monitoring (HUAM) Devices
		05.00.56d			Hospital Beds and Accessories
		05.00.24g			Interstitial Continuous Glucose Monitoring Systems (CGMS)
		05.00.47e			Knee Braces
		05.00.59c			Lower Limb Prostheses
		05.00.12c			Manual Wheelchairs
		05.00.15h			Nebulizers
		05.00.38a			Negative Pressure Wound Therapy (NPWT) Pump
		05.00.30d			Noninvasive Respiratory Assist Devices (RADs): Continuous Positive Airway Pressure (CPAP) Devices and Bi-Level Devices
		05.00.50d			Ostomy Supplies
		05.00.42c			Patient Lifts
		05.00.01e			Pneumatic Compression Therapy Devices
		05.00.54d			Power Wheelchairs (PWCs), Power-Operated Vehicles (POVs), and Push-Rim Activated Power-Assist Devices
		05.00.60c			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)
		05.00.45d			Repair or Replacement of an External Prosthetic Device
		05.00.62			Sculptra� (Injectable Poly-L-Lactic Acid)
		05.00.43c			Seat Lift Mechanisms
		05.00.32b			Speech- and Non-Speech-Generating Devices
		05.00.11c			Therapeutic Shoes and Orthopedic Shoes
		05.00.64a			Transtympanic Micropressure Applications for the Treatment of Meniere's Disease
		05.00.55d			Wheelchair Cushions and Seating
		05.00.67d			Wheelchair Options and Accessories