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Medical Policy Upcoming Updates

Notification Date: January 17, 2018 

Below are the policies that are new or have been reviewed, along with the determination and summary of any changes.

Coverage Policies

Policy Title
Effective Date
Summary of Change
Craniosacral Therapy
Investigative and therefore not covered
No change in determination
Low-Dose Computed Tomography (LDCT) for Lung Cancer Screening
Covered for some indications; investigative and therefore not covered for all other indications
No change in determination


The updated clinical policies and guidelines above will be available as of their effective date, as noted. View policies and guidelines.

To request paper copies of a policy, please leave a message at the Medica Provider Literature Request Line: 1-800-458-5512, option 1, then option 8, then ext. 2-2355.

Where information conflicts with applicable state and/or federal law, Medica follows such applicable federal and/or state law.

Date: 7/31/2021 10:24:54 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CDWEB01