Policy Title Policy Number Status  Effective Date Retire Date
Acupuncture CP.MP.92 Retired May 1, 2024 August 1, 2025
Ferriscan R2-MRI - RETIRE CP.MP.53 Retired May 1, 2024 October 1, 2024
Home Ventilators CP.MP.184 Retired May 1, 2024 August 1, 2025
SNF Leveling CP.MP.206 Retired, changed to cc.pp.206 May 1, 2024

December 1, 2024 

Transcatheter Closure of Patent Foramen Ovale CP.MP.151 Retired May 1, 2024 December 1, 2024