| 4/20/2021 | Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) For AmeriHealth Pennsylvania Members (Updated April 20, 2021) | 0 | | The purpose of this communication is to provide advance notice regarding information and procedure codes related to testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for AmeriHealth Pennsylvania members. This communication addressing Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) is effective from March 6, 2020 through June 30, 2021, or the duration of the Public Health Emergency.
Note: Information related to SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) is continuously evolving. The Company is closely monitoring the outbreak caused by the novel coronavirus, and will update our communications accordingly.
| Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) For AmeriHealth Pennsylvania Members (Updated April 20, 2021) | bc970482-65d0-4097-8cf3-a4cc2fce4192 |
| 4/16/2021 | Pharmaceutical Treatments of COVID-19 for AmeriHealth New Jersey Members (Updated May 4, 2021) | 0.1 | | The purpose of this document is to communicate the Company's coverage position for Pharmaceutical Treatment of COVID-19 for AmeriHealth New Jersey members. | Pharmaceutical Treatments of COVID-19 for AmeriHealth New Jersey Members (Updated May 4, 2021) | bc4611bc-6b1a-482a-983a-8cbb29a83631 |
| 4/16/2021 | Pharmaceutical Treatments of COVID-19 for AmeriHealth Pennsylvania Members (Updated May 4, 2021) | 0.1 | | The purpose of this document is to communicate the Company's coverage position for Pharmaceutical Treatment of COVID-19 for AmeriHealth Pennsylvania members. | Pharmaceutical Treatments of COVID-19 for AmeriHealth Pennsylvania Members (Updated May 4, 2021) | 0d5eaa1d-902a-4041-a36c-25f00a36f808 |
| 4/1/2021 | 4/1/2021 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | 0.1 | | The intent of this article is to communicate Commercial Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 4/1/2021, unless otherwise noted.
| 4/1/2021 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | d9abbf7e-c97e-4b3a-9663-b4c1f5718349 |
| 3/1/2021 | Coverage of the COVID-19 Vaccination for AmeriHealth Members (Updated March 1, 2021) | 0.1 | |
The purpose of this communication is to provide notice regarding information and procedure codes related to the coverage of SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) vaccines and administration of the vaccines for AmeriHealth members.
| Coverage of the COVID-19 Vaccination for AmeriHealth Members (Updated March 1, 2021) | 13d6d106-726b-443f-8db3-6502ac6bf48f |
| 1/25/2021 | Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for AmeriHealth New Jersey Members (Updated March 19, 2021)
| 0 | |
The purpose of this communication is to provide advance notice regarding information and procedure codes related to testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for AmeriHealth New Jersey members.
| Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for AmeriHealth New Jersey Members (Updated January 25, 2021) | ed926941-fa2e-4d39-9eac-bb629c419742 |
| 1/18/2021 | Telemedicine Services for AmeriHealth Pennsylvania Members (Updated March 19, 2021) | 0.1 | | The purpose of this document is to provide advance notice regarding coverage for telemedicine services for our AmeriHealth Pennsylvania members in response to Coronavirus Disease 2019 (COVID-19). | Telemedicine Services for AmeriHealth Pennsylvania Members (Updated March 19, 2021) | a74c165b-c97f-413c-98cb-53563d43c910 |
| 1/4/2021 | 1/1/2021 CPT & HCPCS Annual Code Update Coverage Determinations for Commercial Products | 0 | | The intent of this document is to communicate Commercial Product coverage determinations for services identified through the Annual Code Update process.
| 1/1/2021 CPT & HCPCS Annual Code Update Coverage Determinations for Commercial Products | e9ec2c0c-fb3f-4dc8-ba77-76f1d77bff75 |
| 11/25/2020 | Notice of Withdrawal of Advance Notification of Future Policy #00.10.41h: Telemedicine Services (AmeriHealth Pennsylvania)
| 0 | | The purpose of this communication is to provide notice that Advance Notification of future Policy #00.10.41h: Telemedicine Services (AmeriHealth Pennsylvania) has been withdrawn from the Medical Policy Portal.
| Notice of Withdrawal of Advance Notification of Future Policy #00.10.41h: Telemedicine Services | 488be3d7-9066-4c5c-9823-d18ec61c663e |
| 10/1/2020 | 10/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | 1 | | The intent of this article is to communicate Commercial Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 10/1/2020, unless otherwise noted.
For more information related to these services, please refer to specific policies when applicable.
| 10/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | c1c57826-12dd-47cc-b303-2102ee13691a |
| 7/17/2020 | Respiratory Equipment and Related Supplies (Updated April 16, 2021)
| 1 | | The purpose of this News Article is to provide advance notice during the COVID-19 outbreak related to respiratory equipment and related supplies. | Respiratory Equipment and Related Supplies (Updated April 16, 2021) | 5B5700A06FC104F9852585A70077812F |
| 7/17/2020 | Consumer Grade Pulse Oximetry Devices For Use In The Home Setting (Updated March 25, 2021)
| 1 | | The purpose of this News Article is to provide advance notice during the COVID-19 outbreak related to the coverage of consumer grade pulse oximetry devices for use in the home setting. | Consumer Grade Pulse Oximetry Devices For Use In The Home Setting | 2303C257FD64D4E4852585A700799D42 |
| 7/1/2020 | 7/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | 1 | | | 7/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | 5D38243F686BE26685258598006308EB |
| 5/19/2020 | Telemedicine and Telehealth Services for AmeriHealth New Jersey Members (Updated March 19, 2021)
| 1 | |
The purpose of this News Article is to provide advance notice regarding coverage for telemedicine and telehealth services for our AmeriHealth New Jersey members during the coronavirus disease 2019 state of emergency. | Telemedicine and Telehealth Services for AmeriHealth New Jersey Members (Updated March 19, 2020) | B804E29A492DDB848525856D0044CCE4 |
| 5/12/2020 | Pharmacologic Nuclear Stress Testing in Response to COVID-19 (Updated April 16, 2021)
| 1 | | The purpose of this News Article is to provide advance notice regarding the use of pharmacologic stress testing with nuclear imaging in response to the Public Health Emergency (PHE) for the COVID-19 pandemic. | Pharmacologic Nuclear Stress Testing in Response to COVID-19 (Updated April 16, 2021) | A5277AA82A838E708525856500751E28 |
| 5/7/2020 | Waiver of certain requirements during COVID-19 outbreak related to Durable Medical Equipment (DME), prosthetics, orthotics, and supplies (Updated April 16, 2021)
| 1 | | The purpose of this News Article is to provide advance notice regarding the temporary waiver of certain requirements for Durable Medical Equipment (DME), as well as prosthetics, orthotics, and supplies in response to Coronavirus Disease 2019 (COVID-19).
| Waiver of certain requirements during COVID-19 outbreak related to Durable Medical Equipment (DME), prosthetics, orthotics, and supplies (Updated April 16, 2021) | 3BB298C88737E6BE852585600045E3AE |
| 4/29/2020 | Direct Supervision Requirements for Incident to Services Performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in Response to COVID-19 (Updated April 16, 2021)
| 1 | | The purpose of this News Article is to provide advance notice regarding direct supervision requirements for Incident to services performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in response to Coronavirus Disease 2019 (COVID-19). | Direct Supervision Requirements for Incident to Services Performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in Response to COVID-19 (Updated April 16, 2021) | CE6C7792C6B95201852585590043BD99 |
| 4/22/2020 | Coverage of Preventive Well Visits through Telemedicine in Response to COVID-19 for AmeriHealth New Jersey Members (Updated March 19, 2021)
| 1 | | The purpose of this News Article is to provide advance notice regarding coverage for preventive well visits through telemedicine for our AmeriHealth New Jersey members in response to Coronavirus Disease 2019 (COVID-19). | Coverage of Preventive Well Visits through Telemedicine in Response to COVID-19 for AmeriHealth New Jersey Members | 4CC21DED3CAC6D35852585520045435C |
| 4/20/2020 | Coverage of Preventive Well Visits through Telemedicine in Response to COVID-19 for AmeriHealth Pennsylvania Members (Updated March 19, 2021)
| 1 | | The purpose of this News Article is to provide advance notice regarding coverage for preventive well visits through telemedicine for our AmeriHealth Pennsylvania members in response to Coronavirus Disease 2019 (COVID-19). | Coverage of Preventive Well Visits through Telemedicine in Response to COVID-19 for AmeriHealth Pennsylvania Members | 09FF06DE5F4FA9BD85258550005A61FE |
| 4/1/2020 | 4/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products (revised 05/04/2020) | 1 | | The intent of this news article is to communicate Commercial Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 4/1/2020. | 4/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products (revised 05/04/2020) | 7826A7FDF85578D38525855E004A1326 |
| 12/27/2019 | 1/1/2020 CPT & HCPCS Annual Code Update Coverage Determinations for Commercial Products | 1 | | The intent of this article is to communicate Commercial Product coverage determinations for services identified through the Annual Code Update process. The procedure codes that represent these services will become effective on 1/1/2020. | 1/1/2020 CPT & HCPCS Annual Code Update Coverage Determinations for Commercial Products | 878452BEE2294FD4852584DD004BB52E |
| 10/1/2019 | 10/1/2019 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | 1 | | The intent of this article is to communicate Commercial Product coverage positions for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 10/1/2019. | 10/1/2019 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | 321EEF85779238BD85258486004A8212 |
| 8/8/2019 | Clinical Appropriateness Guidelines for Radiology to be updated for AmeriHealth Members | 1 | |
The purpose of this news article is to provide advance notice regarding upcoming AIM Clinical Appropriateness Guidelines for Radiology for AmeriHealth Members. | Clinical Appropriateness Guidelines for Radiology to be updated for AmeriHealth Members | D2E79A0D88782EF88525845000734338 |
| 7/1/2019 | 7/1/2019 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | 1 | | The intent of this article is to communicate Commercial Product coverage positions for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 7/1/2019. | 7/1/2019 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products | 5F5B3FF86094E6EF8525842A006CBA5C |
| 5/14/2018 | Meniscal allograft transplantation performed in combination with treatment of focal articular cartilage lesions
| 1 | | The purpose of this communication is to provide notice regarding coverage position of meniscal allograft transplantation performed in combination with treatment of focal articular cartilage lesions. | Meniscal allograft transplantation performed in combination with treatment of focal articular cartilage lesions | D1785854FDED826B8525828D00670D5E |
