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.107 Durable Medical Equipment and Orthotics and Prosthetics Guidelines (PDF)
CP.MP.114 Disc Decompresion Procedures (PDF)
CP.MP.117 Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation (PDF)
CP.MP.126 Sacroiliac Joint Fusion (PDF)
CP.MP.184 Home Ventilators (PDF)
AR.CP.BH.503 Home Community Based Services (PDF)
CP.BH.300 Biofeedback for Behavioral Health Disorders (PDF)
CP.MP.109 Panniculectomy (PDF)
CP.MP.202 Orthognathic Surgery (PDF)
CP.MP.31 Cosmetic and Reconstructive Procedures (PDF)
CP.MP.61 IV Moderate Sedation, IV Deep Sedation and General Anesthesia for Dental Procedures (PDF)
CP.MP.181 PCR Respiratory Viral Panel Testing (PDF)
CP.MP.139 Low-Frequency Ultrasound and Noncontact Normothermic Wound Therapy (PDF)
CP.MP.242 Pulmonary Function Testing (PDF)
CP.MP.100 Allergy Testing and Therapy (PDF)
CP.MP.134 Evoked Potential testing (PDF)
CP.MP.143 Wireless Motility Capsule (PDF)
CP.MP.152 Measurement of Serum 1,25-dihydroxyvitamin D (PDF)
CP.MP.153 H. Pylori Serology Testing (PDF)
CP.MP.154 Thyroid Hormones and Insulin Testing in Pediatrics (PDF)
CP.MP.155 EED in the Evaluation of Headache (PDF)
CP.MP.156 Cardiac Biomarker Testing (PDF)
CP.MP.105 Digital EEG Spike Analysis (PDF)
CP.MP.157 25-hydroxyvitamin D Testing in Children and Adolescents (PDF)
CP.MP.50 Drugs of Abuse: Definitive Testing (PDF)
CP.MP.38 Ultrasound in pregnancy (PDF)
CP.MP.98 Urodynamic testing (PDF)
CP.MP.99 Wheelchair setting (PDF)
CP.MP.106 endometrial ablation (PDF)