Archived Policies
| Policy Number | Policy Title | Effective Date Start | Retire Date |
| CP.MP.151 | Transcatheter Closure of Patent Foramen Ovale (PDF) | March 1, 2019 | December 1, 2024 |
| CP.MP.206 | SNF Leveling (PDF) | March 1, 2019 | December 1, 2024 |
| CP.MP.53 | Ferriscan R2-MRI (PDF) | March 1, 2019 | October 1, 2024 |
| cp.mp.184 | Home ventilators (PDF) | March 1, 2019 | August 1, 2025 |
| CP.MP.92 | Acupuncture (PDF) | March 1, 2019 | August 1, 2025 |
| Policy Number | Policy Title | Effective Date Start | Retire Date |
| Policy Number | Policy Title | Effective Date Start | Retire Date |