Clinical Coverage/Medical Policy Updates
Arkansas Total Care updates select clinical policies each month. This page reflects clinical and medical policy changes. We review all policies annually.
Please refer to this page for recent policy updates. Please reach out to your Provider Relations representative if you have any questions.
CP.MP.109 - Panniculectomy (PDF)
CP.MP.12 - Vagus Nerve Stimulation (PDF)
CP.MP.138 - Pediatric Heart Transplant (PDF)
CP.MP.167 - Intradiscal Steroid Injections for Pain Management (PDF)
CP.MP.169 - Trigger Point Injections for Pain Management (PDF)
CP.MP.203 - Diaphragmatic/Phrenic Nerve Stimulation (PDF)
CP.MP.250 - Lantidra (donislecel): Allogeneic Pancreatic Islet Celluar Therapy (PDF)
CP.MP.62 - Hyperhidrosis Treatments (PDF)
CP.MP.91 - Obstetrical Home Care Programs (PDF)
CP.BH.500 - Behavioral Health Treatment Documentation Requirements (PDF)
CP.MP.185 - Skin and Soft Tissue Substitutes (PDF)
CP.MP.244 - Liposuction for Lipedema (PDF)
CP.MP.129 Fetal Surgery in Utero for Prenatally Diagnosed Malformations (PDF)
CP.MP.164 Caudal or Interlaminar Epidural Steroid Injections (PDF)
CP.MP.49 Physical, Occupational, and Speech Therapy Services (PDF)
CP.MP.54 Hospice Services (PDF)
CP.MP.171 Facet Joint Interventions (PDF)
CP.MP.110- Bronchial Thermoplasty (PDF)
CP.MP.121 - Homocysteine Testing (PDF)
CP.MP.123 - Excimer Laser Therapy for Skin Conditions (PDF)
CP.MP.139 - Low-Frequency Ultrasound and Noncontact Normothermic Wound Therapy (PDF)
ASAM 4th Edition for Youth/Adolescents