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News & AnnouncementsCoverage of the COVID-19 Vaccination for AmeriHealth Members (Updated September 8, 2021)9/8/2021
News & AnnouncementsPharmaceutical Treatments of COVID-19 for AmeriHealth Pennsylvania Members (Updated September 13, 2021)9/13/2021
News & AnnouncementsPharmaceutical Treatments of COVID-19 for ​AmeriHealth New Jersey Members (Updated September 13, 2021)9/13/2021
News & AnnouncementsPreventive Coverage of Work-up and Follow-up Services for Pre-exposure Prophylaxis for the Prevention of HIV for AmeriHealth Members9/17/2021
News & AnnouncementsCoverage of Speech Therapy Services Performed Through Telemedicine for AmeriHealth Members9/23/2021
Updated PoliciesMultiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services00.01.60f6/1/2021 1:00 PM9/1/20219/1/2021Coverage and/or Reimbursement Position9/1/2021
Updated PoliciesInsulin Pumps and Long-Term Interstitial Continuous Glucose Monitoring Systems05.00.79d7/18/20219/10/2021Medical Necessity Criteria
Updated PoliciesEvaluation and Treatment of Erectile Dysfunction (ED)11.11.01j6/8/2021 11:00 AM9/13/20219/13/2021Medical Necessity Criteria;General Description, Guidelines, or Informational Update
Updated PoliciesModifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following the Initial Procedure for a Related Procedure During the Postoperative Period03.00.12g9/13/20219/13/2021Coverage and/or Reimbursement Position;Medical Necessity Criteria;General Description, Guidelines, or Informational Update
Updated PoliciesModifier 79:  Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period03.00.28n9/13/20219/13/2021Medical Necessity Criteria;General Description, Guidelines, or Informational Update
Updated PoliciesSteroid-Eluting Sinus Stents and Implants11.16.08f9/13/20219/13/2021General Description, Guidelines, or Informational Update
Updated PoliciesImmune Prophylaxis for Respiratory Syncytial Virus (RSV)08.00.22o9/13/20219/13/2021Medical Necessity Criteria
Updated PoliciesHigh-Technology Radiology Services09.00.46ag6/14/2021 2:00 PM9/12/20219/13/2021General Description, Guidelines, or Informational Update
Updated PoliciesAsparaginase Erwinia Chrysanthemi (Erwinaze®), asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze™)08.01.35d9/13/20219/13/2021Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Reissue PoliciesHigh-Frequency Chest Wall Oscillation Devices05.00.14l10/1/20209/8/20219/9/2021
Reissue PoliciesChemical Peels11.08.08g12/16/20159/8/20219/9/2021
Reissue PoliciesGolimumab (Simponi Aria®) Intravenous (IV) Injection08.01.15f12/21/20209/8/20219/9/2021
Reissue PoliciesCatheter Ablation of Cardiac Arrhythmias11.02.06m10/1/20199/8/20219/10/2021
Reissue PoliciesComputer-Aided Detection (CAD) System for Use with Chest Radiographs09.00.42c3/11/20159/8/20219/10/2021
Reissue PoliciesLabiaplasty11.06.09d5/14/20189/22/20219/22/2021
Archived PoliciesSaturation Needle Biopsy of the Prostate11.11.06h9/10/2021 11:00 AM10/11/20219/10/2021