Manuals Mailing List - Subscribe to a mailing list that will provide the latest information on manual updates and revisions. A PDF reader is required for viewing. You are leaving Health. Entire Manual at Change 22 MB.
March 1, Edition - Superseded. This manual is valid for contracts awarded on or before April 30, All changes to the July 27, edition through Change dated January 29, have been incorporated.
In addition, included in this change package are the policies which required the updated AMA CPT copyright statement. Change Transmittal. Entire Manual at Change 38 14 MB. Sections Affected by Change 38 KB. July 30, Edition - Superseded. Page Count: unavailable. It also revises the residence requirement, updates the process for retroactive enrollment and revises the length of time an enrollee is allowed to live outside the approved service area.
In order for an LDT to be considered for coverage the following must be met:. These LDTs primarily involved molecular and genetic testing. Prior authorization is required for most LDTs except cystic fibrosis. Submit authorization requests online. These manuals are intended to be used for the draft T5 Request for Proposal. The T5 Manual set is non-operational and should not be used to adjudicate claims.
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Need larger text? Table of Contents at Change Change History. Affected Sections. Published Change Package.
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