Sleep studies: For authorization determinations (PDF) - Includes information about utilization management programs.Radiology procedures (high-tech imaging): For authorization determinations (PDF) - Includes information about utilization management programs.Oncology: For CAR-T cell therapy, medical oncology and radiation oncology (PDF) - Includes information about utilization management programs.Cardiology: For home monitoring and cardiology and echocardiology procedures (PDF) - Includes information about care management and utilization management programs.Frequently asked questions about Carelon: for cardiology, radiology (high technology) and sleep studies (in lab) (PDF) - Answers to some questions about authorization requirements for cardiology, in-lab sleep testing and high-tech radiology procedures.Includes modalities, grouper ID required codes and grouper names Radiation Oncology Prior Authorization List for UAW Retiree Medical Benefits Trust non-Medicare members (PDF) - A list of radiation oncology drugs that require prior authorization for UAW Retiree Medical Benefits Trust non-Medicare members.Procedures that require authorization by Carelon: Radiology (high technology) (PDF) - A list of the procedure codes Carelon manages for Michigan Blue Cross and Blue Shield Federal Employee Program members for services received in Michigan.
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