Clinical Policy Directory

• Experimental and Investigational Services 1323 effect 7.1.2024.pdf
• Experimental and Investigational Services 1323 effect 7.2024 SPANISH.pdf
• Eye Exams 1316 effect 6.1.2024.pdf
• Eye Exams 1316 effect 6.2024 SPANISH.pdf
• Low Vision Eval and Rehab 1318 effect 10.1.2023.pdf
• Low Vision Eval and Rehab 1318 effect 10.2023 SPANISH.pdf
• Low Vision Eval and Rehab 1318 effect 7.1.2024.pdf
• Low Vision Eval and Rehab 1318 effect 7.2024 SPANISH.pdf
• Medically Necessary Contact Lenses 1309 effect 1.2024.pdf
• Medically Necessary Contact Lenses effec 1.1.2024 SPANISH.pdf
• Mississippi 2023 Annual Utilization Statistics.pdf
• New Jersey 2023 Annual Utilization Statistics.pdf
• Refraction 1310 effect 4.1.2024.pdf
• Refraction 1310 effect 4.2024 SPANISH.pdf
• Specialty Spectacle Lenses 1330 effect 7.1.2024.pdf
• Specialty Spectacle Lenses 1330 effect 7.2024 Spanish.pdf
• Specialty Spectacle Lenses 1330 effect 8.1.2023.pdf
• Specialty Spectacle Lenses 1330 effect 8.2023 SPANISH.pdf
• Telemedicine 1336 effect 10.1.2023.pdf
• Telemedicine 1336 effect 10.2023 SPANISH.pdf
• Vision Therapy and Orthoptics 1337 effect 10.1.2023.pdf
• Vision Therapy and Orthoptics 1337 effect 10.2023 SPANISH.pdf
• Wyoming 2023 Annual Utilization Statistics.pdf