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 Medicare11/18/2019
Alimta Drug PolicyNC Medicare07/15/2018
Alimta Drug PolicyPA Medicare11/18/2019
Ambulance (Ground) Medical PolicyOH Medicare09/16/2019
Ambulance Services (Air) Medical PolicyOH Medicare09/16/2019
Ambulance Services (Air/Ground) Medical PolicyNC Medicare 09/16/2019
Ambulance Services (Ground) Medical PolicyPA Medicare09/16/2019
Ambulance Services(Air) Medical PolicyPA Medicare09/16/2019
Ambulatory Blood Pressure Monitors Medical PolicyNC Medicare07/15/2019
Ambulatory Blood Pressure Monitors Medical PolicyOH Medicare07/15/2019
Ambulatory Blood Pressure Monitors Medical PolicyPA Medicare07/15/2019
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyNC Medicare05/20/2019
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyOH Medicare05/20/2019
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyPA Medicare05/20/2019
Automatic External Defibrillators Medical PolicyNC Medicare 05/06/2019
Automatic External Defibrillators Medical PolicyOH Medicare 05/06/2019
Automatic External Defibrillators Medical PolicyPA Medicare 05/06/2019
Biomarkers Overview Medical PolicyPA Medicare12/15/2018
Botox Drug PolicyPA Medicare10/21/2019
Brineura Drug PolicyNC Medicare09/16/2019
Brineura Drug PolicyOH Medicare09/16/2019
Brineura Drug PolicyPA Medicare09/16/2019
Bronchial Thermoplasty Medical PolicyNC Medicare07/15/2019
Bronchial Thermoplasty Medical PolicyPA Medicare07/15/2019
Bronchial Thermoplasty Medical PolicyOH Medicare07/15/2019
Cardiac Event Detection Medical PolicyOH Medicare03/18/2019
Cardiac Event Detection Medical PolicyNC Medicare03/18/2019
Cardiac Pacemaker Evaluation Services Medical PolicyNC Medicare03/18/2019
Cardiac Pacemaker Evaluation Services Medical PolicyOH Medicare03/18/2019
Cardiac Radionuclide Imaging Medical PolicyNC Medicare06/01/2018
Cardiac Rhythm Device Evaluation Medical PolicyPA Medicare03/18/2019
Carpal Tunnel Medical PolicyNC Medicare09/16/2019
Carpal Tunnel Medical PolicyOH Medicare09/16/2019
Carpal Tunnel Medical PolicyPA Medicare09/16/2019
Cataract Extraction Medical PolicyPA Medicare07/15/2019
Cataract Extraction Medical PolicyNC Medicare07/15/2019
Cataract Extraction Medical PolicyOH Medicare07/15/2019
Chromosomal Microarray Medical PolicyPA Medicare08/12/2019
Chromosomal Microarray Medical PolicyNC Medicare08/12/2019
Chromosomal Microarray Medical PolicyOH Medicare08/12/2019
Cochlear Implantation Medical PolicyNC Medicare05/20/2019
Cochlear Implantation Medical PolicyOH Medicare05/20/2019
Cochlear Implantation Medical PolicyPA Medicare05/20/2019
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyNC Medicare06/17/2019
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyOH Medicare06/17/2019
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyPA Medicare06/17/2019
CV Nuclear Medicine Medical PolicyOH Medicare07/15/2019
CV Nuclear Medicine Medical PolicyPA Medicare07/15/2019
Electrical Nerve Stimulator Medical PolicyNC Medicare05/06/2019
Electrical Nerve Stimulator Medical PolicyOH Medicare 05/06/2019
Electrical Nerve Stimulator Medical PolicyPA Medicare05/06/2019
Electrocardiographic Services Medical PolicyNC Medicare 05/06/2019
Electrocardiographic Services Medical PolicyOH Medicare 05/06/2019
Electrocardiographic Services Medical PolicyPA Medicare 05/06/2019
Esophagogastroduodenoscopy (EGD) Medical PolicyNC Medicare08/01/2018
Esophagogastroduodenoscopy (EGD) Medical PolicyOH Medicare08/01/2018
Esophagogastroduodenoscopy (EGD) Medical PolicyPA Medicare08/01/2018
Exondys 51 Drug PolicyNC Medicare10/21/2019
Exondys 51 Drug PolicyOH Medicare10/21/2019
Exondys 51 Drug PolicyPA Medicare10/21/2019
Faslodex Drug PolicyNC Medicare07/15/2018
Faslodex Drug PolicyOH Medicare07/15/2018
Faslodex Drug PolicyPA Medicare11/18/2019
Fecal Transplant Medical PolicyNC Medicare02/18/2019
Fecal Transplant Medical PolicyPA Medicare02/18/2019
Fecal Transplant Medical PolicyOH Medicare02/18/2019
G-CSF Drug PolicyOH Medicare01/15/2019
G-CSF Drug PolicyPA Medicare01/15/2019
G-CSF Drug PolicyNC Medicare01/15/2019
Glucose Monitoring Medical PolicyNC Medicare08/12/2019
Glucose Monitoring Medical PolicyOH Medicare08/12/2019
Glucose Monitoring Medical PolicyPA Medicare08/12/2019
Herceptin Drug PolicyPA Medicare11/18/2019
Home Oxygen Therapy Medical PolicyNC Medicare01/15/2019
Home Oxygen Therapy Medical PolicyOH Medicare01/15/2019
Home Oxygen Therapy Medical PolicyPA Medicare01/15/2019
Hyperbaric Oxygen Therapy Medical PolicyNC Medicare12/15/2018
Hyperbaric Oxygen Therapy Medical PolicyOH Medicare12/15/2018
Hyperbaric Oxygen Therapy Medical PolicyPA Medicare12/15/2018
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 Medicare11/18/2019
Kyprolis Drug PolicyPA Medicare11/18/2019
Leadless Pacemaker Medical PolicyNC Medicare03/18/2019
Leadless Pacemaker Medical PolicyOH Medicare03/18/2019
Leadless Pacemaker Medical PolicyPA Medicare03/18/2019
MolDX: Molecular Diagnostic Tests Medical PolicyNC Medicare12/15/2018
MolDX: Molecular Diagnostic Tests Medical PolicyOH Medicare12/15/2018
Noninvasive Assessment of Liver Fibrosis Medical PolicyNC Medicare08/12/2019
Noninvasive Assessment of Liver Fibrosis Medical PolicyOH Medicare08/12/2019
Noninvasive Assessment of Liver Fibrosis Medical PolicyPA Medicare08/12/2019
Noninvasive Venous Studies Medical PolicyKY Medicare06/01/2018
Noninvasive Venous Studies Medical PolicyOH Medicare06/01/2018
Noninvasive Venous Studies Medical PolicyPA Medicare06/17/2019
Ocrevus Medical PolicyPA Medicare10/21/2019
Opdivo Drug PolicyPA Medicare10/21/2019
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyNC Medicare07/15/2019
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyOH Medicare07/15/2019
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyPA Medicare07/15/2019
Perjeta Drug PolicyNC Medicare07/15/2018
Perjeta Drug PolicyPA Medicare11/18/2019
Pharmacogenomic Testing for Warfarin Response Medical PolicyPA Medicare11/18/2019
Pharmacogenomic Testing for Warfarin Response Medical PolicyNC Medicare11/15/2018
Pharmacogenomic Testing for Warfarin Response Medical PolicyOH Medicare11/15/2018
Plethysmography Medical PolicyNC Medicare05/20/2019
Plethysmography Medical PolicyOH Medicare05/20/2019
Plethysmography Medical PolicyPA Medicare05/20/2019
Outpatient Sleep Studies Medical PolicyPA Medicare06/17/2019
Outpatient Sleep Studies Medical PolicyNC Medicare06/17/2019
Outpatient Sleep Studies Medical PolicyOH Medicare06/17/2019
Portrazza Drug PolicyPA Medicare11/18/2019
Pulmonary Rehabilitation Medical PolicyNC Medicare07/15/2019
Pulmonary Rehabilitation Medical PolicyOH Medicare07/15/2019
Pulmonary Rehabilitation Medical PolicyPA Medicare07/15/2019
Remicade Drug PolicyPA Medicare02/18/2019
Rituxan Drug PolicyPA Medicare11/18/2019
Self-contained Cardiac Pacemakers Medical PolicyNC Medicare 05/06/2019
Self-contained Cardiac Pacemakers Medical PolicyOH Medicare 05/06/2019
Self-contained Cardiac Pacemakers Medical PolicyPA Medicare 05/06/2019
Single and Dual Cardiac Pacemakers Medical PolicyPA Medicare03/18/2019
Single and Dual Cardiac Pacemakers Medical PolicyNC Medicare03/18/2019
Single and Dual Cardiac Pacemakers Medical PolicyOH Medicare03/18/2019
Soliris Medical PolicyPA Medicare11/15/2018
Soliris Drug PolicyNC Medicare01/15/2018
Spinal Cord Stimulation (Dorsal Column Stimulation) Medical PolicyPA Medicare 05/06/2019
Spinal Cord Stimulators for Chronic Pain Medical PolicyNC Medicare06/01/2018
Spinraza Drug PolicyNC Medicare10/21/2019
Spinraza Drug PolicyOH Medicare10/21/2019
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyNC Medicare09/16/2019
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyOH Medicare09/16/2019
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyPA Medicare09/16/2019
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 Medical PolicyNC Medicare03/18/2019
Surveillance of Implantable or Wearable Cardioverter Defibrillators Medical PolicyOH Medicare03/18/2019
Cardiac Event Detection Monitoring Medical PolicyPA Medicare03/18/2019
Testing of Genetic Disease Medical PolicyPA Medicare10/21/2019
TMS Medical PolicyNC Medicare05/20/2019
TMS Medical PolicyOH Medicare05/20/2019
TMS Medical PolicyPA Medicare05/20/2019
Transtelephonic Monitoring Medical PolicyNC Medicare 05/06/2019
Transtelephonic Monitoring Medical PolicyOH Medicare 05/06/2019
Tysabri Drug PolicyNC Medicare10/21/2019
Tysabri Drug PolicyOH Medicare10/21/2019
Tysabri Drug PolicyPA Medicare10/21/2019
Velcade Drug PolicyPA Medicare01/15/2019
Velcade Drug PolicyNC Medicare01/15/2019
Vimizim Drug PolicyNC Medicare 10/21/2019
Vimizim Drug PolicyOH Medicare 10/21/2019
Vimizim Drug PolicyPA Medicare 10/21/2019
Xolair Drug PolicyKY Medicare07/15/2018
Xolair Drug PolicyNC Medicare10/21/2019
Xolair Drug PolicyOH Medicare10/21/2019
Xolair Drug PolicyPA Medicare10/21/2019
Yervoy Drug PolicyKY Medicare07/15/2018
Yervoy Drug PolicyOH Medicare07/15/2018
Yervoy Drug PolicyPA Medicare11/18/2019
Scanning Computerized Ophthalmic Screening Medical PolicyPA Medicare07/15/2019
Scanning Computerized Ophthalmic Screening Medical PolicyOH Medicare07/15/2019
Scanning Computerized Ophthalmic Screening Medical PolicyNC Medicare07/15/2019
Vitamin D Deficiency Medical PolicyPA Medicare08/12/2019
Panniculectomy, Abdominoplasty/ Lipectomy Medical PolicyPA Medicare08/12/2019
Vitamin D Deficiency Medical PolicyOH Medicare08/12/2019
Panniculectomy, Abdominoplasty/ Lipectomy Medical PolicyOH Medicare08/12/2019
Vitamin D Deficiency Medical PolicyNC Medicare08/12/2019
Panniculectomy, Abdominoplasty/ Lipectomy Medical PolicyNC Medicare08/12/2019
Observation Care (Hospital Outpatient) Medical PolicyPA Medicare10/01/2019
Negative Pressure Wound Therapy Medical Policy PA Medicare 10/21/2019
Negative Pressure Wound Therapy Medical Policy OH Medicare 10/21/2019
Negative Pressure Wound Therapy Medical Policy NC Medicare 10/21/2019
Implantable Cardioverter Defibrillator Medical PolicyPA Medicare10/21/2019
Noninvasive Vascular Studies Medical PolicyOH Medicare10/21/2019
Spinraza Medical PolicyPA Medicare10/21/2019
Ocrevus Medical Policy NC Medicare 10/21/2019
Ocrevus Medical Policy OH Medicare 10/21/2019
Implantable Cardioverter Defibrillator Medical Policy NC Medicare 10/21/2019
Implantable Cardioverter Defibrillator Medical Policy OH Medicare 10/21/2019
Botox Medical Policy NC Medicare 10/21/2019