• Medical Policy Update

  • In September 2018, the Affinity Health Plan Medical Policy and Benefits Committee approved the first eight external medical policies for providers and members. These policies supplement the MCG and eviCore guidelines, and the Medicare and Medicaid policies and rules, which to help Affinity Health Plan determine the medical necessity of a requested treatment.

    The new policies are:

    1. Admission Review with Minimal Information
    2. Pediatric Multidisciplinary Feeding Therapy
    3. Interspinous and Interlaminar Stabilization/Distraction Implants
    4. Gender Dysphoria
    5. Cryotherapy
    6. Cosmetic Services
    7. Allergy Immunotherapy
    8. Manipulation Under Anesthesia

    The policies can be found at http://www.affi nityplan.org/Providers/Support/Medical-Policies/Medical-Policies.

    Providers are encouraged to bookmark this page and revisit often for updates.