Skip to Main Content
Join the Gateway Provider Network

Medicare Medical Policy Search



Name
Type
State
Effective
Adcetris Drug PolicyKY Medicare07/15/2018
Adcetris Drug PolicyOH Medicare07/15/2018
Adcetris Drug PolicyPA Medicare07/15/2018
Alimta Drug PolicyNC Medicare07/15/2018
Alimta Drug PolicyPA Medicare07/15/2018
Ambulance (Ground) Medical PolicyKY Medicare09/15/2018
Ambulance (Ground) Medical PolicyOH Medicare09/15/2018
Ambulance Services (Air) Medical PolicyKY Medicare09/15/2018
Ambulance Services (Air) Medical PolicyOH Medicare09/15/2018
Ambulance Services (Ground) Medical PolicyNC Medicare09/15/2018
Ambulance Services (Ground) Medical PolicyPA Medicare09/15/2018
Ambulance Services(Air) Medical PolicyPA Medicare09/15/2018
Ambulatory Blood Pressure Monitors Medical PolicyKY Medicare07/15/2018
Ambulatory Blood Pressure Monitors Medical PolicyNC Medicare07/15/2018
Ambulatory Blood Pressure Monitors Medical PolicyOH Medicare07/15/2018
Ambulatory Blood Pressure Monitors Medical PolicyPA Medicare07/15/2018
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyKY Medicare04/15/2018
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyNC Medicare04/15/2018
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyOH Medicare04/15/2018
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyPA Medicare04/15/2018
Automatic External Defibrillators Medical PolicyKY Medicare04/15/2018
Automatic External Defibrillators Medical PolicyNC Medicare04/15/2018
Automatic External Defibrillators Medical PolicyOH Medicare04/15/2018
Automatic External Defibrillators Medical PolicyPA Medicare04/15/2018
Biomarkers Overview Medical PolicyPA Medicare12/15/2018
Botox Drug PolicyNC Medicare07/15/2018
Botox Drug PolicyPA Medicare07/15/2018
Brineura Drug PolicyKY Medicare04/01/2018
Brineura Drug PolicyNC Medicare04/01/2018
Brineura Drug PolicyOH Medicare04/01/2018
Brineura Drug PolicyPA Medicare04/01/2018
Bronchial Thermoplasty Medical PolicyNC Medicare07/15/2018
Bronchial Thermoplasty Medical PolicyPA Medicare07/15/2018
Bronchial Thermoplasty Medical PolicyKY Medicare07/15/2018
Bronchial Thermoplasty Medical PolicyOH Medicare07/15/2018
Cardiac Event Detection Medical PolicyKY Medicare06/01/2018
Cardiac Event Detection Medical PolicyNC Medicare06/01/2018
Cardiac Event Detection Medical PolicyOH Medicare06/01/2018
Cardiac Event Detection Monitoring Medical PolicyPA Medicare06/01/2018
Cardiac Pacemaker Evaluation Services Medical PolicyKY Medicare04/15/2018
Cardiac Pacemaker Evaluation Services Medical PolicyNC Medicare04/15/2018
Cardiac Pacemaker Evaluation Services Medical PolicyOH Medicare04/15/2018
Cardiac Radionuclide Imaging Medical PolicyNC Medicare06/01/2018
Cardiac Rhythm Device Evaluation Medical PolicyPA Medicare04/15/2018
Carpal Tunnel Medical PolicyKY Medicare09/15/2018
Carpal Tunnel Medical PolicyNC Medicare09/15/2018
Carpal Tunnel Medical PolicyOH Medicare09/15/2018
Carpal Tunnel Medical PolicyPA Medicare09/15/2018
Cataract Extraction Medical PolicyPA Medicare07/15/2018
Cataract Extraction Medical PolicyKY Medicare07/15/2018
Cataract Extraction Medical PolicyNC Medicare07/15/2018
Cataract Extraction Medical PolicyOH Medicare07/15/2018
Chromosomal Microarray Medical PolicyKY Medicare09/01/2018
Chromosomal Microarray Medical PolicyPA Medicare09/01/2018
Chromosomal Microarray Medical PolicyNC Medicare12/01/2017
Chromosomal Microarray Medical PolicyOH Medicare09/01/2018
Cochlear Implantation Medical PolicyKY Medicare06/01/2018
Cochlear Implantation Medical PolicyNC Medicare06/01/2018
Cochlear Implantation Medical PolicyOH Medicare06/01/2018
Cochlear Implantation Medical PolicyPA Medicare06/01/2018
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyKY Medicare06/01/2018
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyNC Medicare06/01/2018
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyOH Medicare06/01/2018
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyPA Medicare06/01/2018
Custom Made Oral Appliances for Obstructive Sleep Apnea (OSA) Medical PolicyNC Medicare06/01/2018
Custom Made Oral Appliances for Obstructive Sleep Apnea (OSA) Medical PolicyPA Medicare06/01/2018
Custom Made Oral Appliances for Obstructive Sleep Apnea (OSA) Medical PolicyKY Medicare06/01/2018
Custom Made Oral Appliances for Obstructive Sleep Apnea (OSA) Medical PolicyOH Medicare06/01/2018
CV Nuclear Medicine Medical PolicyKY Medicare06/01/2018
CV Nuclear Medicine Medical PolicyOH Medicare06/01/2018
CV Nuclear Medicine Medical PolicyPA Medicare06/01/2018
Electrical Nerve Stimulator Medical PolicyKY Medicare04/15/2018
Electrical Nerve Stimulator Medical PolicyNC Medicare04/15/2018
Electrical Nerve Stimulator Medical PolicyOH Medicare04/15/2018
Electrical Nerve Stimulator Medical PolicyPA Medicare04/15/2018
Electrocardiographic Services Medical PolicyKY Medicare06/01/2018
Electrocardiographic Services Medical PolicyNC Medicare06/01/2018
Electrocardiographic Services Medical PolicyOH Medicare06/01/2018
Electrocardiographic Services Medical PolicyPA Medicare06/01/2018
Esophagogastroduodenoscopy (EGD) Medical PolicyKY Medicare08/01/2018
Esophagogastroduodenoscopy (EGD) Medical PolicyNC Medicare08/01/2018
Esophagogastroduodenoscopy (EGD) Medical PolicyOH Medicare08/01/2018
Esophagogastroduodenoscopy (EGD) Medical PolicyPA Medicare08/01/2018
Exondys 51 Drug PolicyKY Medicare07/15/2018
Exondys 51 Drug PolicyNC Medicare07/15/2018
Exondys 51 Drug PolicyOH Medicare07/15/2018
Exondys 51 Drug PolicyPA Medicare07/15/2018
Faslodex Drug PolicyKY Medicare07/15/2018
Faslodex Drug PolicyNC Medicare07/15/2018
Faslodex Drug PolicyOH Medicare07/15/2018
Faslodex Drug PolicyPA Medicare07/15/2018
Fecal Transplant Medical PolicyKY Medicare04/01/2018
Fecal Transplant Medical PolicyNC Medicare04/01/2018
Fecal Transplant Medical PolicyOH Medicare04/01/2018
Fecal Transplant Medical PolicyPA Medicare04/01/2018
Fetal Aneuploidy Medical PolicyNC Medicare07/15/2018
Fetal Aneuploidy Medical PolicyPA Medicare10/01/2018
G-CSF Drug PolicyOH Medicare01/15/2019
G-CSF Drug PolicyPA Medicare01/15/2019
G-CSF Drug PolicyNC Medicare01/15/2019
Genetic Testing for Warfarin Therapy Medical PolicyKY Medicare06/01/2018
Genetic Testing for Warfarin Therapy Medical PolicyNC Medicare06/01/2018
Genetic Testing for Warfarin Therapy Medical PolicyOH Medicare06/01/2018
Genetic Testing for Warfarin Therapy Medical PolicyPA Medicare06/01/2018
Glucose Monitoring Medical PolicyKY Medicare09/01/2018
Glucose Monitoring Medical PolicyNC Medicare09/01/2018
Glucose Monitoring Medical PolicyOH Medicare09/01/2018
Glucose Monitoring Medical PolicyPA Medicare09/01/2018
Herceptin Drug PolicyPA Medicare07/15/2018
Home Oxygen Therapy Medical PolicyNC Medicare01/15/2019
Home Oxygen Therapy Medical PolicyOH Medicare01/15/2019
Home Oxygen Therapy Medical PolicyPA Medicare02/15/2019
Hyperbaric Oxygen Therapy Medical PolicyKY Medicare02/15/2018
Hyperbaric Oxygen Therapy Medical PolicyNC Medicare12/15/2018
Hyperbaric Oxygen Therapy Medical PolicyOH Medicare12/15/2018
Hyperbaric Oxygen Therapy Medical PolicyPA Medicare12/15/2018
Implantable Automatic Defibrillators Medical PolicyKY Medicare04/15/2018
Implantable Automatic Defibrillators Medical PolicyNC Medicare04/15/2018
Implantable Automatic Defibrillators Medical PolicyOH Medicare04/15/2018
Implantable Automatic Defibrillators Medical PolicyPA Medicare04/15/2018
Implantable Cardioverter Defibrillator Medical PolicyKY Medicare04/15/2018
Implantable Cardioverter Defibrillator Medical PolicyNC Medicare04/15/2018
Implantable Cardioverter Defibrillator Medical PolicyOH Medicare04/15/2018
Implantable Cardioverter Defibrillator Medical PolicyPA Medicare04/15/2018
Interleukin-5 Inhibitors Drug PolicyNC Medicare01/15/2019
Interleukin-5 Inhibitors Drug PolicyOH Medicare01/15/2019
Interleukin-5 Inhibitors Drug PolicyPA Medicare01/15/2019
Keytruda Drug PolicyPA Medicare07/15/2018
Kyprolis Drug PolicyPA Medicare07/15/2018
Leadless Pacemaker Medical PolicyKY Medicare04/01/2018
Leadless Pacemaker Medical PolicyNC Medicare04/01/2018
Leadless Pacemaker Medical PolicyOH Medicare04/01/2018
Leadless Pacemaker Medical PolicyPA Medicare04/01/2018
MolDX: Molecular Diagnostic Tests Medical PolicyNC Medicare12/15/2018
MolDX: Molecular Diagnostic Tests Medical PolicyOH Medicare12/15/2018
Noninvasive Assessment of Liver Fibrosis Medical PolicyKY Medicare09/15/2017
Noninvasive Assessment of Liver Fibrosis Medical PolicyNC Medicare09/15/2017
Noninvasive Assessment of Liver Fibrosis Medical PolicyOH Medicare09/15/2017
Noninvasive Assessment of Liver Fibrosis Medical PolicyPA Medicare09/15/2017
Noninvasive Peripheral Venous Studies Medical PolicyKY Medicare06/01/2018
Noninvasive Peripheral Venous Studies Medical PolicyOH Medicare06/01/2018
Noninvasive Peripheral Venous Studies Medical PolicyPA Medicare06/01/2018
Noninvasive Technique for the Evaluation of Liver Fibrosis Medical PolicyOH Medicare09/01/2018
Noninvasive Technique for the Evaluation of Liver Fibrosis Medical PolicyKY Medicare09/01/2018
Noninvasive Technique for the Evaluation of Liver Fibrosis Medical PolicyNC Medicare09/01/2018
Noninvasive Technique for the Evaluation of Liver Fibrosis Medical PolicyPA Medicare09/01/2018
Ocrevus Drug PolicyKY Medicare07/15/2018
Ocrevus Drug PolicyNC Medicare07/15/2018
Ocrevus Drug PolicyOH Medicare07/15/2018
Ocrevus Drug PolicyPA Medicare07/15/2018
Opdivo Drug PolicyPA Medicare10/01/2018
Outpatient Sleep Studies Medical PolicyPA Medicare06/01/2018
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyKY Medicare06/01/2018
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyNC Medicare06/01/2018
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyOH Medicare06/01/2018
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyPA Medicare06/01/2018
Perjeta Drug PolicyNC Medicare07/15/2018
Perjeta Drug PolicyPA Medicare07/15/2018
Pharmacogenomic Testing for Warfarin Response Medical PolicyPA Medicare11/15/2018
Pharmacogenomic Testing for Warfarin Response Medical PolicyKY Medicare11/15/2018
Pharmacogenomic Testing for Warfarin Response Medical PolicyNC Medicare11/15/2018
Pharmacogenomic Testing for Warfarin Response Medical PolicyOH Medicare11/15/2018
Plethysmography Medical PolicyKY Medicare04/15/2018
Plethysmography Medical PolicyNC Medicare04/15/2018
Plethysmography Medical PolicyOH Medicare04/15/2018
Plethysmography Medical PolicyPA Medicare04/15/2018
Polysomnography and Other Sleep Studies Medical PolicyKY Medicare06/01/2018
Polysomnography and Other Sleep Studies Medical PolicyNC Medicare06/01/2018
Polysomnography and Other Sleep Studies Medical PolicyOH Medicare06/01/2018
Portrazza Drug PolicyPA Medicare07/15/2018
Pulmonary Rehabilitation Medical PolicyNC Medicare07/15/2018
Pulmonary Rehabilitation Medical PolicyKY Medicare07/15/2018
Pulmonary Rehabilitation Medical PolicyOH Medicare07/15/2018
Pulmonary Rehabilitation Medical PolicyPA Medicare07/15/2018
Remicade Drug PolicyPA Medicare04/01/2018
Rituxan Drug PolicyPA Medicare07/15/2018
Self-contained Cardiac Pacemakers Medical PolicyKY Medicare04/15/2018
Self-contained Cardiac Pacemakers Medical PolicyNC Medicare04/15/2018
Self-contained Cardiac Pacemakers Medical PolicyOH Medicare04/15/2018
Self-contained Cardiac Pacemakers Medical PolicyPA Medicare04/15/2018
Single/ Dual Cardiac Pacemakers Medical PolicyKY Medicare04/01/2018
Single/ Dual Cardiac Pacemakers Medical PolicyNC Medicare04/01/2018
Single/ Dual Cardiac Pacemakers Medical PolicyOH Medicare04/01/2018
Single/ Dual Cardiac Pacemakers Medical PolicyPA Medicare04/01/2018
Soliris Medical PolicyPA Medicare11/15/2018
Soliris Drug PolicyNC Medicare01/15/2018
Spinal Cord Stimulation (Dorsal Column Stimulation) Medical PolicyPA Medicare06/01/2018
Spinal Cord Stimulators for Chronic Pain Medical PolicyNC Medicare06/01/2018
Spinraza Drug PolicyKY Medicare07/15/2018
Spinraza Drug PolicyNC Medicare07/15/2018
Spinraza Drug PolicyOH Medicare07/15/2018
Spinraza Drug PolicyPA Medicare07/15/2018
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyKY Medicare09/15/2018
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyNC Medicare09/15/2018
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyOH Medicare09/15/2018
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyPA Medicare09/15/2018
Supervised Exercise Therapy for PAD Medical PolicyNC Medicare12/15/2018
Supervised Exercise Therapy for PAD Medical PolicyOH Medicare12/15/2018
Supervised Exercise Therapy for PAD Medical PolicyPA Medicare12/15/2018
Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs) Medical PolicyKY Medicare04/15/2018
Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs) Medical PolicyNC Medicare04/15/2018
Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs) Medical PolicyOH Medicare04/15/2018
Testing of Genetic Disease Medical PolicyPA Medicare11/15/2018
TMS Medical PolicyKY Medicare04/15/2018
TMS Medical PolicyNC Medicare04/15/2018
TMS Medical PolicyOH Medicare04/15/2018
TMS Medical PolicyPA Medicare04/15/2018
Transtelephonic Monitoring Medical PolicyKY Medicare04/15/2018
Transtelephonic Monitoring Medical PolicyNC Medicare04/15/2018
Transtelephonic Monitoring Medical PolicyOH Medicare04/15/2018
Tysabri Drug PolicyKY Medicare07/15/2018
Tysabri Drug PolicyNC Medicare07/15/2018
Tysabri Drug PolicyOH Medicare07/15/2018
Tysabri Drug PolicyPA Medicare07/15/2018
Velcade Drug PolicyPA Medicare01/15/2019
Vimizim Drug PolicyKY Medicare07/15/2018
Vimizim Drug PolicyNC Medicare07/15/2018
Vimizim Drug PolicyOH Medicare07/15/2018
Vimizim Drug PolicyPA Medicare07/15/2018
Xolair Drug PolicyKY Medicare07/15/2018
Xolair Drug PolicyNC Medicare07/15/2018
Xolair Drug PolicyOH Medicare07/15/2018
Xolair Drug PolicyPA Medicare07/15/2018
Yervoy Drug PolicyKY Medicare07/15/2018
Yervoy Drug PolicyOH Medicare07/15/2018
Yervoy Drug PolicyPA Medicare07/15/2018
Velcade Drug PolicyNC Medicare01/15/2019