Clinical policies
AmeriHealth Caritas District of Columbia is dedicated to providing the most comprehensive, outcomes-driven health solutions for our enrollees. Part of this approach means making it a priority to reduce unnecessary variations in care. We've used the latest scientific evidence and research to create the clinical policies, which represent the latest in current professional standards.
While these guidelines are intended to inform, they aren't intended to replace a physician's clinical judgment. The physician remains responsible for determining the applicable treatment for each individual.
Navigate directly to a letter:
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A
- Acoustic cardiography/heart sound recording
- Ambulatory continuous peripheral nerve block for chronic pain
- Art therapy
- Athletic pubalgia (sports hernia) surgery
- Auricular stimulation for abdominal pain from irritable bowel syndrome
- Automated scalp cooling
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B
- Balloon dilation of the Eustachian tube
- Bioimpedance devices for detecting lymphedema
- Blue Native polyacrylamide gel electrophoresis for mitochondrial myopathies
- Botulinum toxin for constipation
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C
- Cardiac contractility modulation
- Cervical cancer and human papillomavirus screening
- Cervical traction devices for neck pain for home use
- Chronic inflammatory response syndrome
- Computer-aided detection and diagnosis for chest imaging
- Core decompression for avascular necrosis of the hip
- Corneal cross-linking
- Coronary intravascular lithotripsy
- Customized lymphedema garments
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D
- Dermabrasion and chemical peel
- Digestive enzyme cartridge
- Disposable insulin delivery devices
- Drug-eluting sinus implants
- Dynamic splinting
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E
- Electrical muscle stimulation
- Embrace 2 watch for seizure detection.
- Emerg Auto-Emersion Therapy system and Dolphin Fluid Immersion Simulation system for pressure injury
- Endovenous stents.
- Equine-assisted therapy
- Erectile dysfunction treatments other than pharmaceuticals
- Excimer laser for vitiligo
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F
- Face transplantation
- Flexitouch® pneumatic compression devices for lymphedema after head and neck surgery
-
G
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H
- Hand and arm transplants
- Home invasive positive pressure ventilation
- Home spirometry
- Home-use light box therapy for seasonal affective disorder
- Hydrogel spacer use during radiotherapy for prostate cancer
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I
- Immune cell function assays in transplantation
- Intermittent pneumatic compression for peripheral artery disease
- Intracranial hypertension stent
- Intravascular ultrasound
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L
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M
- MarginProbe
- Medical three-dimensional printing
- Microwave thermotherapy for breast cancer
- Microwave thermotherapy for lung and kidney tumors
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N
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O
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P
- Pediatric bed enclosures and sensory beds
- Pediatric intensive feeding programs
- Pediatric rhinoplasty
- Pediatric turbinoplasty
- Percutaneous arteriovenous fistula creation
- Percutaneous peripheral nerve stimulators for chronic nerve pain
- Pet therapy
- Platelet rich plasma for nonhealing diabetic wounds
- Postural orthostatic tachycardia syndrome treatment with physical therapy
- Prescription digital therapeutics for attention deficit hyperactivity disorder
- Prescription digital therapeutics for contraception
- Prescription digital therapeutics for insomnia
- Prostatic urethral lift/UroLift for benign prostatic hyperplasia
-
R
- RESET-O
- Radiofrequency ablation for nasal valve collapse
- Radiofrequency ablation of genicular nerves for knee pain
- Renal denervation
- Robotic orthoses – lower limb
- Room humidifiers
-
S
- Sacral nerve modulation/stimulation
- Scoliosis vertebral body tethering and stapling
- Shoe lifts for leg length discrepancy
- Sialendoscopy and lithotripsy for salivary stones
- Site of care for outpatient physical, occupational, and speech therapy
- Skin surgery after massive weight loss
- Smell and taste dysfunction testing
- Specialized infant formula
- Speech therapy
- Stereotactic navigation in sinus surgery
- Subacromial balloon spacer implantation in massive irreparable rotator cuff tears
-
T
- Tactile breast imaging
- Three-dimensional imaging and interpretation
- Transanal radiofrequency for fecal incontinence
- Transcatheter coronary infusion of supersaturated oxygen therapy in acute myocardial infarction
- Transperineal laser ablation of the prostate for benign prostatic hyperplasia
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V
- Vaginitis diagnostic testing
- Vagus nerve stimulation for post-stroke upper limb rehabilitation
- Vestibular evoked myogenic potential testing
- Video head impulse testing
- Virtual colonoscopy – CT colonography
- Vitamin D screening
- Volatile organic compounds for urinary tract infection
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W
- WATS-3D brush biopsy for Barrett’s esophagus
- Wearable dialysis and implantable artificial kidneys
- Wheelchair mounted robotic arm – Kinova Jaco2
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X
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Z
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