Find Care in Your Area
Get Help
Apply
For Members
Keep Your Medicaid Coverage
Announcements
Benefits for Adults
Benefits for Children
Benefits for LTSS
Maternity Benefits
Pharmacy Benefits
Doctor Visits with HHO on the Go
Forms
Handbooks and Newsletters
Addiction and Substance Use
COVID-19
Health and Wellness
File a Grievance
File an Appeal
Health Awareness Series
Healthy Rewards Program
Language Access Cards
Member Advisory Council
Report Caregivers for Wrong Actions
For Providers
Provider Manual and Resources
Updates and Notices
Quarterly Newsletter
Claims and Medical Policies
Forms and Reference Material
Medication Information
COVID-19
Culturally Competent Care
EPSDT
Transition and Continuity of Care
Critical Incidents
Clinical Practice Guidelines
Medical Record Standards
Prior Authorization Code Lookup
Training and Education
Health Library
search
LOGIN
search
close
Menu
close
Home
Apply
For Members
close
Back
For Members
Announcements
close
Back
Announcements
Announcements (Archive)
LOGIN
Member Handbook and Benefits
close
Back
Member Handbook and Benefits
Member Forms
LOGIN
Benefits for Children
Addiction and Substance Use Disorder Resource Center
Pharmacy Benefits
Benefits for Adults
Benefits for LTSS
Member Rights and Responsibilities
Health Awareness Series
Appeals and Grievances
Join the Member Advisory Council
HHO on the Go
See Your Medical Record Online
Health and Wellness
Report Wrong Actions
Extra Benefits for Adults
Know the Best Place to Go
Healthy Rewards
Medicaid Coverage
Maternity Benefits
Language Access Cards
LOGIN
For Providers
close
Back
For Providers
Clinical Practice Guidelines
Claims and Medical Policies
close
Back
Claims and Medical Policies
Claims and Payment Policies
Medical Policies
close
Back
Medical Policies
A–C
D–F
G–I
J–L
M–O
P–R
S–V
W–Z
Archive
LOGIN
LOGIN
Medication Information
Provider Manual and Resources
close
Back
Provider Manual and Resources
Forms and Reference Material
EPSDT
Critical Incidents
Transition and Continuity of Care
Culturally Competent Care
COVID-19 Resources
Training and Education
LOGIN
Quarterly Newsletters
Updates and Notices
Medical Record Standards
Prior Authorization Code Lookup
LOGIN
Contact Us
close
Back
Contact Us
Member Contact
LOGIN
Get Help in Your Language
Find Care in Your Area
Health Library
LOGIN
Claims and Medical Policies
arrow_forward_ios
Medical Policies
S–V
Home
For Providers
Claims and Medical Policies
Medical Policies
S–V
search
Medical Policies – S
picture_as_pdf
Scanning Computerized Ophthalmic Diagnostic Imaging
picture_as_pdf
Sexual Dysfunction, Male, Diagnosis and Treatment
picture_as_pdf
Skin Lesions, Removal of Benign or Premalignant Lesions
picture_as_pdf
Skin Lesions, Treatment of Malignant
picture_as_pdf
Devices Used for the Treatment of Obstructive Sleep Apnea in Adults
picture_as_pdf
Diagnosis and Treatment of Obstructive Sleep Apnea for Adults
picture_as_pdf
Diagnosis and Treatment of Obstructive Sleep Apnea in Pediatric Individuals
picture_as_pdf
Specimen Collection
picture_as_pdf
Speech Generating Devices
picture_as_pdf
Stem Cell Therapy - Orthopedic Application
picture_as_pdf
Subtalar Arthroereisis
picture_as_pdf
Co-Surgery
picture_as_pdf
Fetal Surgery For Prenatally Diagnosed Malformations
picture_as_pdf
Surgery - Team
Medical Policies – T
picture_as_pdf
Telestroke
picture_as_pdf
Temporomandibular Joint (TMJ) Dysfunction
picture_as_pdf
Transcatheter Arterial Chemoembolization
picture_as_pdf
Transcatheter Closure Devices for Septal Defects
picture_as_pdf
Transcatheter Mitral Valve Repair/Replacement
picture_as_pdf
Transcatheter Pulmonary Valve Implantation
picture_as_pdf
Transcranial Magnetic Stimulators
picture_as_pdf
Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease
picture_as_pdf
Tumor Treatment Fields
picture_as_pdf
Twin-Twin Transfusion Syndrome with Amnioreduction and/or Fetoscopic Laser Therapy Treatment
Medical Policies – U
picture_as_pdf
Ultrafiltration in Decompensated Heart Failure
picture_as_pdf
Ultrasound Guidance - Joint, Tendon, Tendon Sheath, and Trigger Point Injections
picture_as_pdf
Ultraviolet Light Therapies
picture_as_pdf
Upper Gastrointestinal Endoscopy
picture_as_pdf
Urinary Incontinence Therapy
picture_as_pdf
Urinary Stress Incontinence – Bulking Agents
picture_as_pdf
Uterine Bleeding and Fibroids Treatment
Medical Policies – V
picture_as_pdf
Varicose Veins – Surgical Treatment
picture_as_pdf
Vision Therapy – Orthoptics and Pleoptics