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.12 Vagus Nerve Stimulation (PDF)
CP.MP.46 Ventricular Assist Devices (PDF)
CP.MP.91 Obstetrical Home Care Program (PDF)
CP.MP.117 Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation (PDF)
CP.MP.173 Implantable Intrathecal or Epidural Pain Pump (PDF)
CP.MP.174 Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy (PDF)
V1.2025 CG Testing: Aortopathies and Connective Tissue Disorders (PDF)
V1.2025 CG Testing: Cardiac Disorders (PDF)
V1.2025 CG Testing: Dermatologic Conditions (PDF)
V1.2025 CG Testing: Epilepsy, Neurodegenerative, and Neuromuscular Conditions (PDF)
V1.2025 CG Testing: Exome and Genome Sequencing for the Diagnosis of Genetic Disorders (PDF)
V1.2025 CG Testing: Eye Disorders (PDF)
V1.2025 CG Testing: General Approach to Genetic and Molecular Testing (PDF)
V1.2025 CG Testing: Hearing Loss (PDF)
V1.2025 CG Testing: Hematologic Conditions Non-Cancerous (PDF)
V1.2025 CG Testing: Hereditary Cancer Susceptibility (PDF)
V1.2025 CG Testing: Immune, Autoimmune, and Rheumatoid Disorders (PDF)
V1.2025 CG Testing: Kidney Disorders (PDF)
V1.2025 CG Testing: Lung Disorders (PDF)
V1.2025 CG Testing: Metabolic, Endocrine, and Mitochondrial Disorders (PDF)
V1.2025 CG Testing: Multisystem Inherited Disorders, Intellectual Disability, and Developmental Delay (PDF)
V1.2025 CG Testing: Prenatal Cell-Free DNA Testing (PDF)
V1.2025 CG Oncology: Algorithmic Testing (PDF)
V1.2025 CG Oncology: Cancer Screening (PDF)
V1.2025 CG Oncology: Circulating Tumor DNA and Circulating Tumor Cells (Liquid Biopsy) (PDF)
V1.2025 CG Oncology: Cytogenetic Testing (PDF)
V1.2025 CG Oncology: Molecular Analysis of Solid Tumors and Hematologic Malignancies (PDF)
V1.2025 CG Testing: Preimplantation Genetic Testing (PDF)
V1.2025 CG Testing: Prenatal and Preconception Carrier Screening (PDF)
V1.2025 CG Testing: Prenatal Diagnosis (via Amniocentesis, CVS, or PUBS) and Pregnancy Loss (PDF)
V2.2024 CG Testing: Skeletal Dysplasia and Rare Bone Disorders (PDF)
V1.2025 CG Testing: Gastroenterologic Disorders Non-Cancerous (PDF)
V1.2025 CG Testing: Pharmacogenetics (Version B) (PDF)
CP.MP.62 Hyperhidrosis Treatments (PDF)
CP.MP.70 Proton and Neutron Beam Therapies (PDF)
CP.MP.142 Urinary Incontinence Devices and Treatments (PDF)
CP.MP.180 Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (PDF)
CP.MP.97 Testing select GU conditions (PDF)
CP.MP.113 Holter Monitors (PDF)
CP.MP.121 Homocysteine Testing (PDF)
CP.MP.181 PCR respiratory viral panel testing (PDF)