Skip to Main Content

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.165 - SNRB and TFESI (PDF)

CP.MP.166 - Sacroiliac Joint Interventions for Pain Management (PDF)

CP.MP.22 - Stereotactic Body Radiation Therapy (PDF)

CP.MP.144 - Mechanical Stretching Devices for Joint Stiffnessand Contracture (PDF)

CP.MP.145 - Electric Tumor Treating Fields (Optune) (PDF)

AR.CP.MP.31 - Cosmetic and Reconstructive Procedures (PDF)

AR.CP.MP.37 - Bariatric Surgery (PDF)

CP.MP.107 - DME (PDF)

CP.MP.202 - Orthognathic Surgery (PDF)

ARTC.UM.21 - Family Centered Treatment In Lieu of Services (PDF)

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)