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Payment Policy

This notice is to clarify a segment of our payment policy language that is applicable to all Medicaid markets. Our payment policies are based on publicly distributed guidelines from established industry sources such as the Centers for Medicare and Medicaid Services (CMS), the American Medical Association (AMA), state health care agencies and medical specialty professional societies.

If you have questions about this information, please contact your Provider Relations representative.

Policy Description Claim Type
Claims & Payment Policy  Intensity Modulated Radiation Therapy (IMRT)  Facility and Professional 
Claims & Payment Policy
Screening for Cervical Cancer with Human Papillomavirus (HPV) Testing  Lab 
Claims & Payment Policy

Pre-Payment and Post-Payment Review

Facility and Professional

Claims and Payment Policy  Screening for Colorectal Cancer Using Cologuard – A Multitarget Stool DNA Test   Facility and Professional
Claims and Payment Policy 
Facility and Professional 


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Last Updated On: 10/23/2019
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