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.185 - Skin and Soft Tissue Substitutes for Chronic Wounds (PDF)
CP.MP.188 - Pediatric Oral Function Therapy (PDF)
CP.MP.248 - Facility-based Sleep Studies for Obstructive Sleep Apnea (PDF)
AR.CP.BH.104 - Applied Behavior Analysis (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 - H Homocysteine Testing (PDF)
CP.MP.123 - Excimer Laser Therapy for Skin Conditions (PDF)
CP.MP.130 - Fertility Preservation (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.BH.105 - Applied Behavioral Analysis Documentation Requirements (PDF)
CP.MP.124 - Attenmtion Deficit Hyperactivity disorder and treatment (PDF)
CP.MP.117 - Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation (PDF)
CP.MP.174 - Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy (PDF)
CP.MP.180 - Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (PDF)
CP.MP.185 - Skin and Soft Tissue Substitutes for Diabetic Foot Ulcers and Venous Leg Ulcers (PDF)
CP.MP.190 - Outpatient Oxygen Use (PDF)
CP.BH.105 - Applied Behavioral Analysis Documentation Requirements (PDF)
V2 2025 - Concert Genetic Testing: CG Multisystem Genetic Conditions (PDF)
V2.2025 - Concert Genetic Testing: Identity and Forensics (PDF)
V2.2025 - Concert Genetic Testing Oncology: Hematologic Malignancy (PDF)
V2.2025 - Concert Genetic Testing: Hereditary Cancer (PDF)
V2.2025 - Concert Genetic Testing: Preimplantation Genetic Testing (PDF)
V2.2025 - Concert Genetic Testing Oncology: Solid Tumor Molecular Diagnostics (PDF)
V2.2025 - Concert Genetic Testing: Neurology (PDF)
V2.2025 - Concert Genetic Testing: Nutrition and Metabolism (PDF)
V2.2025 - Concert Genetic Testing Oncology: Algorithmic Assays (PDF)
V2.2025 - Concert Genetic Testing: Cardiovascular (PDF)
V2.2025 - Concert Genetic Testing: Gastroenterology (PDF)
V2.2025 - Concert Genetic Testing: Prenatal Screening (PDF)
V2.2025 - Concert Genetic Testing: Transplant (PDF)
V2.2025 - Concert Genetic Testing: Multisystem Genetic Conditions (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)
Concert Genetic Testing: Oncology Cancer Screening and Surveillance (PDF)
AR.CP. BH.504 - Family Centered Treatment In Lieu of Service (PDF)