Medicaid Retired Medical Policy Search



Name
Type
State
Effective
Spinraza Drug
Policy
PA Medicaid 09/15/2017
Noninvasive Assessment of Liver Fibrosis in Chronic Hepatitis C Medical PolicyPA Medicaid1/20/2020
Macular Degeneration Procedures Medical Policy PA Medicaid 4/13/2020
Continuous Glucose Monitoring Medical PolicyPA Medicaid 05/18/2020
Labiaplasty Medical Policy PA Medicaid 06/21/2021

Gateway Health Policy Disclaimer

  • The Policies neither constitutes nor substitutes for medical advice. Gateway Health’s Policies should not be construed as providing medical advice or treatment or guaranteeing the outcome or results of any medical services/treatments and/or procedures Providers are responsible for providing medical advice and treatment, are independent contractors, and are not employees or agents of Gateway Health. If members have a specific question about their medical condition, they should consult with their provider.
  • In the event of a conflict between the Policy and Member Handbook or Evidence of Coverage, the express terms of the Member Handbook or Evidence of Coverage will govern. The existence of a medical guideline is not an authorization, certification, explanation of benefits, or a contract for the service (or supply) that is referenced in the medical guideline.  The Policies are used in making decisions as to medical necessity only and they do not guarantee payment of services. Policies serve as one of the sets of guidelines for coverage decisions.
  • The information on this website may not reflect a recent policy change or all of the applicable medical guidelines.

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