| News & Announcements | Coverage of the COVID-19 Vaccination for AmeriHealth Members (Retroactively effective to December 8, 2022. Updated January 20, 2023) | | | | | | 1/20/2023 | | | |
| News & Announcements | Pharmaceutical Prophylaxis and Treatments of COVID-19 for AmeriHealth Pennsylvania Members (Retroactively effective to November 8, 2022, Issued January 30, 2023) | | | | | | 1/30/2023 | | | |
| News & Announcements | Pharmaceutical Prophylaxis and Treatments of COVID-19 for AmeriHealth New Jersey Members (Retroactively effective to November 8, 2022, issued January 30, 2023) | | | | | | 1/30/2023 | | | |
| New Policies | Teclistamab-cqyv (Tecvayli™) | 08.01.98 | | 1/30/2023 | | | 1/30/2023 | This is a New Policy. | | |
| Updated Policies | Noninvasive Respiratory Assist Devices (RADs): Continuous Positive Airway Pressure (CPAP) Devices, Auto-Adjusting Positive Airway Pressure (APAP) and Bi-Level Devices | 05.00.30n | 12/2/2022 9:00 AM | 1/2/2023 | | | 1/2/2023 | Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Neuromuscular Electrical Stimulators (NMES) and Functional Electrical Stimulators (FES) | 05.00.73f | 12/2/2022 1:00 PM | 1/2/2023 | | | 1/3/2023 | Coverage and/or Reimbursement Position;Medical Coding | | |
| Updated Policies | Breast Pumps | 05.00.76g | | 1/1/2023 | | | 1/4/2023 | Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Experimental/Investigational Services | 12.01.01bg | | 1/1/2023 | | | 1/11/2023 | Medical Coding | | |
| Updated Policies | Insertion of Implantable Infusion Pumps | 11.15.03l | 12/16/2022 9:00 AM | 1/16/2023 | | | 1/25/2023 | Medical Coding;General Description, Guidelines, or Informational Update | 1/25/2023 | |
| Reissue Policies | Noninvasive Prenatal Screening for Fetal Aneuploidies Using Cell-Free Fetal DNA (AmeriHealth Administrators) | 06.02.47e | | 10/1/2021 | 1/25/2023 | | 1/25/2023 | | | |
| Reissue Policies | Cobalamin (Vitamin B12), Folic Acid, and Homocysteine Testing | 06.02.54c | | 10/1/2022 | 1/25/2023 | | 1/25/2023 | | | |
| Reissue Policies | Measurement of Exhaled Nitric Oxide and Breath Condensate in the Diagnosis and Management of Asthma and Other Respiratory Disorders | 07.11.02f | | 3/26/2018 | 1/25/2023 | | 1/25/2023 | | | |
| Reissue Policies | Testing Serum Vitamin D Levels | 06.02.51d | | 10/1/2020 | 1/25/2023 | | 1/25/2023 | | | |
| Reissue Policies | Vedolizumab (Entyvio®) | 08.01.18f | | 7/12/2021 | 1/25/2023 | | 1/25/2023 | | | |
| Coding Update | Treatments for Complex Regional Pain Syndrome (CRPS) | 08.00.57p | | 1/1/2023 | | | 1/1/2023 | | | |
| Coding Update | Radiation Therapy Services (AmeriHealth) | 09.00.56p | | 1/1/2023 | | | 1/3/2023 | | | |
| Coding Update | Gender Affirming Interventions | 11.09.02l | | 1/1/2023 | | | 1/3/2023 | | | |
| Coding Update | Bone-Anchored (Osseointegrated) Hearing Aids and Implantable Middle Ear Hearing Aids | 11.01.06g | | 1/1/2023 | | | 1/3/2023 | | | |
| Coding Update | Sentinel Lymph Node Biopsy and Mapping | 11.07.02k | | 1/1/2023 | | | 1/3/2023 | | | |
| Coding Update | Criteria for Reimbursement of Emergency Room Services | 00.10.03k | | 1/1/2023 | | | 1/4/2023 | | | |
| Coding Update | Modifiers 26 (Professional Component) and TC (Technical Component) | 03.00.20p | | 1/1/2023 | | | 1/4/2023 | | | |
| Coding Update | Reimbursement for the Administration of Drugs, Substances, and/or Biologic Agents | 00.10.43b | | 1/1/2023 | | | 1/4/2023 | | | |
| Coding Update | Psychiatric Collaborative Care Management (CoCM) (AmeriHealth) | 00.01.70a | | 1/1/2023 | | | 1/4/2023 | | | |
| Coding Update | Immune Globulin Intravenous (IVIG), Subcutaneous (SCIG) | 08.00.13ae | | 10/1/2022 | | | 1/5/2023 | | 1/5/2023 | |
| Coding Update | Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service | 03.00.06w | | 1/1/2023 | | | 1/6/2023 | | | |
| Coding Update | Percutaneous Coronary Intervention, Coronary Angiography and Arterial Ultrasound (AmeriHealth) | 11.02.27g | | 1/1/2023 | | | 1/6/2023 | | 1/6/2023 | |
| Coding Update | Always Bundled Procedure Codes | 00.01.52r | | 1/1/2023 | | | 1/9/2023 | | | |
| Coding Update | Modifier 62: Two Surgeons | 00.10.11u | | 1/1/2023 | | | 1/12/2023 | | | |
| Coding Update | Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS | 00.10.18t | | 1/1/2023 | | | 1/13/2023 | | | |
