Blue.regence.com

The Regence Group

WEBCompany information about the Regence Group-BlueCross BlueShield affiliated health care plans located in the states of Oregon, Washington, Utah and Idaho- serving 3 million …

Actived: 5 days ago

URL: https://blue.regence.com/

Regence Medicare Advantage Medical Policy and Review Process

WEBThe purpose of the Medicare Advantage Medical Policy Manual is to provide the guidelines used for determining coverage criteria for specific medical and behavioral …

Category: Medical Go Health

Regence BlueCross BlueShield of Oregon Clinical Practice …

WEBClinical Practice Guidelines (CPGs) are systematically developed statements on medical practices that help physicians and other practitioners make decisions about appropriate …

Category: Medical Go Health

Washington State Health Technology Clinical Committee (HTCC

WEBThe HTCC is a committee of independent health care professionals that reviews selected health technologies (services) to determine appropriate coverage, if any, for the …

Category: Health Go Health

Medical Policy Development and Review Process

WEBNext Review Date: September 2024. Effective Date: March 1, 2024. Purpose of the Manual. The purpose of a medical policy is to provide guidelines for determining …

Category: Medical Go Health

Regence Medical Policies

WEBRegence Medical Policies. The Regence Group Plans use Policies as guidelines for coverage determinations in all health care insurance products, unless otherwise …

Category: Medical Go Health

Intensive In-Home Family Intervention

WEBDEFINITIONS: Intensive In-Home Family Interventions (IIFI) are therapy services provided face-to-face in the home to address symptoms and behaviors that, as the result of a …

Category: Health Go Health

Behavioral Table of Contents

WEB06/01/2023. Click here to view: Transcranial Magnetic Stimulation as a Treatment of Depression and Other Disorders, Medicine, Policy No. 148. MED148. 09/01/2023. …

Category: Medicine Go Health

Medicare Advantage Policy Manual Policy ID

WEBBehavioral health services aid in the effective treatment of patients with various psychiatric disorders. Depending on the severity and type of disorder, services may range from …

Category: Health Go Health

The Regence Group Medical Policy Manual

WEBDescription. The Medical Policy Manual contains Medical Policies approved by the Medical Policy Workgroup. Medical Policies are based upon scientific evidence of merit for a …

Category: Medical Go Health

Investigational (Experimental) Services, New and Emerging …

WEBThe Medicare Advantage Medical Policies are designed to provide guidance regarding the decision-making process for the coverage or non-coverage of services or procedures in …

Category: Medical Go Health

Recent Updates to the Regence Group Medical Policy Manual

WEBSurgery, Policy No. 229. N/A. N/A. Folate Testing. New policy will address folate testing. Effective Date: June 1, 2024. Laboratory, Policy No. 79. Adding CPT …

Category: Health Go Health

Applied Behavior Analysis for the Treatment of Autism

WEBDESCRIPTION. Applied Behavior Analysis (ABA) is an umbrella term describing principles and techniques used in the assessment, treatment, and prevention of challenging …

Category: Health Go Health

Regence Vendor Contact Page

WEBIf a meeting is required to further discuss the submitted evidence, Regence will contact the vendor representative. Meeting requests to discuss utilization management or case …

Category: Health Go Health

Enteral and Oral Nutrition Therapy in the Home Setting

WEBArtificial nutrition support was shown to be an effective therapy for preventing nutritional decline and reversing malnutrition but had no impact on disease progression. Mean BMI …

Category: Nutrition Go Health

Applied Behavior Analysis Initial Assessment for the

WEBApplied Behavior Analysis (ABA) is an umbrella term describing principles and techniques used in the assessment, treatment, and prevention of challenging behaviors and the …

Category: Health Go Health

Effective: June 1, 20 23

WEBBH35 | 1 . Medical Policy Manual Behavioral Health, Policy No. 35 Substance Use Disorder Effective: June 1, 20 23 Next Review: May 202 4 Last Review: May 2023

Category: Medical Go Health

Gender Affirming Interventions for Gender Dysphoria

WEBI. Gender affirming interventions for gender dysphoria may be considered medically necessary when either of the following criteria is met: A. For member contracts subject …

Category: Medical Go Health