Capital Health Plan Genetic Testing Criteria

Listing Websites about Capital Health Plan Genetic Testing Criteria

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Commercial Criteria Capital Health Plan

(5 days ago) Florida Blue Adopted Criteria. Capital Health Plan has adopted the Florida Blue medical coverage policies as our criteria for Commercial members. Coverage policies that require prior authorization are listed below. Genetic Testing for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk Cancers … See more

https://capitalhealth.com/providers/commercial-criteria

Category:  Cancer,  Medical Show Health

Medicare Criteria 2020 Capital Health Plan

(8 days ago) WEBOriginal Medicare Criteria. Capital Health Plan follows Original Medicare coverage policies for our Medicare members. Genetic Testing: BRCA1 & BRCA2 Lynch Syndrome …

https://capitalhealth.com/providers/medicare-criteria-2020

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Clinical Criteria Capital Health Plan

(8 days ago) WEBA medical guideline, also called clinical criteria, is a document with the aim of guiding medical decisions regarding diagnosis, management, and treatment in specific areas of …

https://www2.capitalhealth.com/providers/clinical-criteria

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MEDICAL SERVICES THAT REQUIRE PRIOR AUTHORIZATION

(8 days ago) WEBthe service itself is covered under all benefit plans. Please refer to the individual Capital Health Plan member benefit handbook for more information about services that may be …

https://capitalhealth.com/sites/default/files/uploaded-documents/MEDICAL%20SERVICES%20THAT%20REQUIRE%20PRIOR%20AUTHORIZATION%207-26-21.pdf

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Clinical Appropriateness Guidelines Genetic Testing for …

(7 days ago) WEBGenetic testing included in these guidelines is covered when: 1. The patient meets coverage criteria outlined in the guidelines 2. A recommendation for genetic …

https://guidelines.aimspecialtyhealth.com/wp-content/uploads/2022/04/GT02-Hereditary-Cancer-Susceptibility-09-04-22-v2.2022-FINAL-PDF.pdf

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Medicare & Medicaid Coverage of Genetic Services

(8 days ago) WEBGenetic testing for a BRCA mutation. Medicare may cover BRCA testing for people with: ovarian, fallopian tube or primary peritoneal cancer. breast cancer diagnosed in women at age 45-50 or younger. women diagnosed …

https://www.facingourrisk.org/support/insurance-paying-for-care/genetic-services/medicare-medicaid

Category:  Cancer Show Health

Cancer Genetics Risk Assessment Capital Health Cancer Center

(8 days ago) WEBThe Cancer Genetics Program at Capital Health Cancer Center helps individuals and families understand their genetics and how it may affect them. Skip to content. 609-537 …

https://capitalhealthcancer.org/cancer-care/cancer-genetics-program/

Category:  Cancer Show Health

General Approach to Genetic Testing - Capital Blue Cross

(4 days ago) WEBGENETIC TESTING involves the analysis of chromosomes, DNA (deoxyribonucleic acid), RNA (ribonucleic, acid), genes, or gene products to detect inherited (germline) or non …

https://www.capbluecross.com/wps/wcm/connect/prod_nws.capblue.com29556/18786a15-58ae-4c7a-bd1b-7f726b0e7e8b/medical-policy-2-326.pdf?MOD=AJPERES

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West Virginia Genetics Policy Hub

(4 days ago) WEBThe testing method is proven to be scientifically valid and, if testing guidelines exist, the clinical scenario falls within those recommendations; and; After a …

https://geneticspolicy.nccrcg.org/medicaid-policy/west-virginia/

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Medicare Medical Policies

(1 days ago) WEBGenetic Testing for Diagnosis and Management of Mental Health Conditions . 1,2. 2.257. Genetic Testing for Duchenne and Becker Muscular Dystrophy …

https://www.capitalbluemedicare.com/wps/portal/capm/home/resource/medicare-medical-policies

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Title: Genetic Testing and Counseling - BCBSM

(8 days ago) WEBGenetic testing is considered . medically necessary . for a genetic or heritable disorder when the following are met. For ALL genetic testing, the condition being tested for must …

https://www.bcbsm.com/amslibs/content/dam/public/mpr/mprsearch/pdf/2001657.pdf

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Laboratory Tests and Services - Capital Blue Cross

(1 days ago) WEBThyroid Disease Testing. Transplant Rejection Testing. Urinary Tumor Markers for Bladder Cancer. Urine Culture Testing for Bacteria. Vitamin B12 and Methylmalonic Acid …

https://www.capbluecross.com/wps/portal/cap/home/find/laboratory-service-policies

Category:  Vitamin,  Cancer Show Health

MOLECULAR GENETIC TESTING GUIDELINES

(2 days ago) WEBMOLECULAR GENETIC TESTING GUIDELINES. Policy # 83 . Implementation Date: 10/1/19 . Revision Dates: 4/13/22 . Related Medical Policies: If no criteria exist in th e …

https://files.selecthealth.cloud/api/public/content/219369-83_Molecular-Genetic-Testing-Guidelines.pdf

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COMMERCIAL/ MEDICARE CLINICAL CRITERIA FOR UM …

(3 days ago) WEBCLINICAL CRITERIA FOR UM DECISIONS BLOOD GLUCOSE MONITOR AND TESTING SUPPLIES USING THE MEDICAL BENEFIT Capital Health Plan (CHP) members …

https://capitalhealth.com/sites/default/files/2021/11/Blood-Glucose-Monitor-and-Testing-Supplies_Final_113021.pdf

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Capital Health Plan

(6 days ago) WEBWalk With a Doc. Come join us for our next event on April 13, 2024, from 9am-10am, at Cascades Park. Learn More

https://capitalhealth.com/

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Cancer Screenings Capital Health Cancer Center

(6 days ago) WEBA Papanicolaou test (commonly referred to as a Pap test or Pap smear) can detect precancerous or cancerous cells in the cervix. Based on the USPSTF Cervical Cancer …

https://capitalhealthcancer.org/our-patients/screenings/

Category:  Cancer Show Health

Commercial Criteria Capital Health Plan

(Just Now) WEBFlorida Blue Adopted Criteria. Capital Health Plan has adopted the Florida Blue medical coverage policies as our criteria for Commercial members. Coverage policies that …

https://wwww.capitalhealth.com/providers/commercial-criteria

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Clinical Policy: Genetic Testing - Superior HealthPlan

(6 days ago) WEBavailable, testing would be covered ONLY for the number of genes or tests deemed medically necessary to establish a diagnosis. II. It is the policy of Superior HealthPlan …

https://www.superiorhealthplan.com/content/dam/centene/Superior/policies/clinical-policies/TX.CP.MP.531-11302020.pdf

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Capital Health Outpatient Testing Capital Health Hospitals

(5 days ago) WEBThe Pre-Admission Testing (PAT) Departments at Capital Health Regional Medical Center and Capital Health Medical Center – Hopewell are now located in a centralized PAT …

https://www.capitalhealth.org/medical-services/outpatient-testing

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