Policy Updates

Clinical Coverage/Medical Policy Updates

QualChoice updates a select number of clinical coverage policies each month, ensuring the reviewal of all policies on an annual basis.

Policy Updates Effective March 15, 2026
CP.MP.185 - Skin and Soft Tissue Substitutes for Chronic Wounds (PDF)
CP.MP.188 - Pediatric Oral Function Therapy (PDF)
CP.MP.247 - Transplant Service Documentation Requirements (PDF)
CP.MP.248 - Facility-based Sleep Studies for Obstructive Sleep Apnea (PDF)
CP.MP.139 - Low-Frequency Ultrasound and Noncontact Normothermic Wound Therapy (PDF)
CC.PP.073 - Sepsis Diagnosis (PDF)
CP.MP.100 - Allergy Testing and Therapy (PDF)
CP.MP.106 - Endometrial Ablation (PDF)
CP.MP.110 - Bronchial Thermoplasty (PDF)
CP.MP.113 - Holter Monitors (PDF)
CP.MP.121 - Homocysteine Testing (PDF)
CP.MP.123 - Excimer Laser Therapy for Skin Conditions (PDF)
CP.MP.134 - Evoked Potential Testing (PDF)
CP.MP.141 - Nonmyeloablative Allogeneic Stem Cell Transplants (PDF)
CP.MP.143 - Wireless Motility Capsule (PDF)
CP.MP.152 - Measurement of Serum 1,25-dihydroxyvitamin D (PDF)
CP.MP.153 - Helicobacter Pylori Serology Testing (PDF)
CP.MP.154 - Thyroid Hormones and Insulin Testing in Pediatrics (PDF)
CP.MP.155 - EEG in the Evaluation of Headache (PDF)
CP.MP.156 - Cardiac Biomarker Testing (PDF)
CP.MP.163 - Total Parenteral Nutrition and Intradialytic Parenteral Nutrition (PDF)
CP.MP.180 - Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (PDF)
CP.MP.249 - Allogeneic Hematopoietic Progenitor Cell Therapy (PDF)
CP.MP.36 - Experimental Technologies (PDF)
CP.MP.40 - Gastric Electrical Stimulation (PDF)
CP.MP.50 - Drugs of Abuse Definitive Testing (PDF)
V2.2025 Concert Genetic Testing: Prenatal Diagnosis (PDF)
V2.2025 Concert Genetic Testing: General Approach to Genetic and Molecular Testing (PDF)
V2.2025 Concert Genetic Testing: Immunology and Rheumatology (PDF)
V2.2025 Concert Genetic Testing: Prenatal and Preconception Carrier Screening (PDF)
V2.2025 Concert Genetic Testing: Nephrology (PDF)
V2.2025 Concert Genetic Testing: Ophthalmology (PDF)
V2.2025 Concert Genetic Testing: Dermatology (PDF)
V2.2025 Concert Genetic Testing: Endocrinology (PDF)
V2.2025 Concert Genetic Testing: Hematology (PDF)
V2.2025 Concert Genetic Testing: Otolaryngology (PDF)
V2.2025 Concert Genetic Testing: Orthopedics (PDF)
V2.2025 Concert Genetic Testing: Respiratory (PDF)
V2.2025 Concert Genetic Testing: Toxicology and Pharmacogenetics Version B (PDF)