Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 7, 2023
Carelon Medical Benefits Management, Inc Spine & Joint Surgery Guideline Update
The Carelon Medical Benefits Management, Inc.* guidelines below were developed and/or revised effective September 11, 2023. The guidelines were revised to provide clarification only related to the updated criteria. Existing precertification requirements have not changed.
Please share this notice with other providers in your practice and office staff.
To view a guideline, visit https://guidelines.carelonmedicalbenefitsmanagement.com/.
Criteria number | Criteria title | New or revised |
Carelon Medical Benefits Management spine surgery clinical appropriateness guideline — criteria for lumbar disc arthroplasty | Revised | |
Carelon Medical Benefits Management joint surgery clinical appropriateness guideline — criteria for meniscal allograft transplantation of the knee and osteochondral grafts | Revised |
* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
INBCBS-CD-025997-23
PUBLICATIONS: October 2023 Provider Newsletter
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