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.147 - Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention (PDF)
CP.MP.185 - Skin and Soft Tissue Substitutes for Chronic Wounds (PDF)
CP.BH.500 - Behavioral Health Treatment Documentation Requirements (PDF)
AR.CP.MP.184 - home ventilators (PDF)
CP.MP.180 - Implantable Hypoglossal Nerve Stim (PDF)
CP.MP.194 - Osteogenic Stimulation (PDF)
CP.MP.54 - Hospice Services (PDF)
CP.MP.94 - Clinical Trials (PDF)
AR.CP.61 - Sedation Dentistry (PDF)
ARTC.UM.19 Personal Care Services Authorization (PDF)
CP.MP.249 Allogeneic Hematopoietic Progenitor Cell Therapy (PDF)
CP.MP.137 Fecal Incontinence Treatments (PDF)
CP.MP.51 Reduction Mammoplasty and Gynecomastia Surgery (PDF)
AR.CP.MP.501 ABI(subacute and chronic) inpatient neurorehabilitation (PDF)
CP.VP.06 Medically Necessary Hardware (PDF)
CP.VP.13 Preventive (Routine) Eye Examination (PDF)
CP.VP.13 Attachment A Refractive Hardware (PDF)
CP.VP.14 Scanning Computerized Ophthalmic Diagnostic Imaging (PDF)
CP.VP.26 Extended Ophthalmoscopy (PDF)
CP.VP.28 Fluorescein Angiography (PDF)
CP.VP.29 Fundus Photography (PDF)