| News & Announcements | Expanded Preventive Coverage of Pneumococcal 15-valent Conjugate Vaccine for Independence Commercial Members (Retroactively Effective 06/22/2022) | | | | | | 10/31/2022 | | | |
| Notifications | Care Management and Care Planning Services | 00.01.59l | 10/7/2022 10:00 AM | 11/7/2022 | | | 10/7/2022 | Coverage and/or Reimbursement Position;Medical Necessity Criteria;General Description, Guidelines, or Informational Update | | |
| Notifications | Pemetrexed (Alimta®), Pemetrexed (Pemfexy™) | 08.00.87j | 10/7/2022 7:00 AM | 11/7/2022 | | | 10/7/2022 | Coverage and/or Reimbursement Position;Medical Necessity Criteria;General Description, Guidelines, or Informational Update | | |
| New Policies | Risankizumab-rzaa (Skyrizi®) for Intravenous Use | 08.01.95 | | 10/24/2022 | | | 10/24/2022 | This is a New Policy. | | |
| Updated Policies | Breast Pumps | 05.00.76f | | 10/3/2022 | | | 10/3/2022 | Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Ipilimumab (Yervoy®) | 08.01.01l | | 10/10/2022 | | | 10/10/2022 | Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Nivolumab (Opdivo®) | 08.01.62b | | 10/10/2022 | | | 10/10/2022 | Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Medical and Surgical Treatment of Temporomandibular Joint Disorder | 07.08.03h | 9/9/2022 10:00 AM | 10/10/2022 | | | 10/10/2022 | Medical Necessity Criteria;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Negative-Pressure Wound Therapy (NPWT) Systems | 05.00.38l | | 10/10/2022 | | | 10/10/2022 | Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Eculizumab (Soliris®) and Related Biosimilars, Ravulizumab-cwvz (Ultomiris®) | 08.00.84i | 9/19/2022 1:00 PM | 10/17/2022 | | | 10/17/2022 | Medical Necessity Criteria;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Radiation Therapy Services (Independence) | 09.00.56o | | 10/15/2022 | | | 10/17/2022 | Medical Necessity Criteria | | |
| Updated Policies | Experimental/Investigational Services | 12.01.01bf | | 10/1/2022 | | | 10/21/2022 | Medical Coding | | |
| Updated Policies | Pneumatic Compression Therapy Devices | 05.00.01n | 9/23/2022 9:00 AM | 10/24/2022 | | | 10/24/2022 | Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Home Oxygen Therapy | 05.00.58n | | 10/24/2022 | | | 10/24/2022 | Coverage and/or Reimbursement Position;Medical Necessity Criteria;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Self-Administered Drugs | 08.00.78ak | | 10/24/2022 | | | 10/24/2022 | Coverage and/or Reimbursement Position;Medical Coding | | |
| Updated Policies | Ustekinumab (Stelara®) | 08.00.82n | | 10/24/2022 | | | 10/24/2022 | Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update | | |
| Updated Policies | Belimumab (Benlysta®) for Intravenous Use | 08.00.99e | | 10/24/2022 | | | 10/24/2022 | Medical Necessity Criteria | | |
| Updated Policies | Repository Corticotropin Injection (Acthar® Gel, Purified Cortrophin[TM] Gel) | 08.01.12c | | 10/24/2022 | | | 10/24/2022 | Medical Necessity Criteria | | |
| Updated Policies | Chimeric Antigen Receptor (CAR) Therapy | 08.01.43k | 9/28/2022 9:00 AM | 10/31/2022 | | | 10/31/2022 | Medical Necessity Criteria | | |
| Reissue Policies | Golimumab (Simponi Aria®) Intravenous (IV) Injection | 08.01.15f | | 12/21/2020 | 10/5/2022 | | 10/5/2022 | | | |
| Reissue Policies | Percutaneous Transluminal Angioplasty (PTA) Concurrent with or without Stenting of the Extracranial Carotid Artery or Intracranial Artery | 11.02.12j | | 7/19/2021 | 10/5/2022 | | 10/5/2022 | | | |
| Reissue Policies | Drug-Eluting Beads and Bland Embolization for the Treatment of Hepatic Malignancies | 07.05.07d | | 12/16/2019 | 10/19/2022 | | 10/20/2022 | | | |
| Reissue Policies | Intravenous Chelation Therapy | 07.00.02i | | 3/4/2019 | 10/19/2022 | | 10/20/2022 | | | |
| Reissue Policies | Transcatheter Arterial Chemoembolization (TACE) of Hepatic Malignancies | 07.05.06g | | 12/2/2019 | 10/19/2022 | | 10/20/2022 | | | |
| Reissue Policies | Nutritional Formulas, Enteral Nutrition, Medical Foods, Low-Protein Modified Food Products, and Donated Breast Milk | 08.00.18o | | 12/20/2021 | 10/19/2022 | | 10/20/2022 | | | |
| Reissue Policies | Solid Organ Transplantation and Procurement Cost of Organs and Tissues | 11.00.09f | | 12/31/2017 | 10/19/2022 | | 10/20/2022 | | | |
| Reissue Policies | Pulmonary Rehabilitation | 10.04.01m | | 1/1/2022 | 10/19/2022 | | 10/20/2022 | | | |
| Reissue Policies | Skilled Nursing Facility (SNF): Skilled and Subacute Levels of Care | 02.03.00 | | 11/1/2020 | 10/19/2022 | | 10/21/2022 | | | |
| Coding Update | Reconstructive Breast Surgery and Post-Mastectomy Prostheses | 11.08.15aa | | 10/1/2022 | | | 10/5/2022 | | | |
| Coding Update | Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy | 11.08.19p | | 10/1/2022 | | | 10/6/2022 | | | |
| Coding Update | Preventive Care Services | 00.06.02aj | | 10/1/2022 | | | 10/7/2022 | | | |
| Coding Update | Reimbursement for Radiopharmaceutical Agents for Professional Providers | 09.00.32ab | | 10/1/2022 | | | 10/10/2022 | | | |
| Coding Update | PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services | 00.01.25bh | | 10/1/2022 | | | 10/10/2022 | | | |
| Coding Update | Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) Products | 00.03.07ah | | 10/1/2022 | | | 10/17/2022 | | | |
| Coding Update | Always Bundled Procedure Codes | 00.01.52q | | 10/1/2022 | | | 10/17/2022 | | | |
| Coding Update | Durable Medical Equipment (DME) and Consumable Medical Supplies | 05.00.21aa | | 10/1/2022 | | | 10/18/2022 | | | |
| Archived Policies | Transtympanic Micropressure Device as a Treatment of Meniere's Disease | 05.00.78 | 12/15/2021 9:00 AM | 1/15/2022 | | | 10/20/2022 | | | |
