NaviNet is a free, Internet-based application for providers to streamline data exchanges between their offices and Highmark. The waiver of Highmark member cost-sharing for in-network telehealth visits is effective for electrolysis amerigroup of service from March 13 international claims June 30, Please carefully read and follow the instructions contained within the individual form for submission. Health Options Provider Manual. Medical Policy Medical Policy. This partnership is instrumental in bringing a personalized care transitions approach to support Highmark's Medicare Advantage members across Pennsylvania and West Virginia. Contact Us.
People from throughout the Southeast and across the country rely on us for the best and most innovative care possible. We offer medical and support services with easy access locations throughout Middle Tennessee, so you can receive your care closer to you. How Can We Help? Healthcare Professionals. Referral Number. Cosmetic Dermatology. Conditions We Treat.
We treat all skin conditions, including:. Aging or sun-damaged skin. Show All Conditions. Meet Your Care Team. Cosmetic Dermatologists 3 Advanced Practice Providers 1. Make an Appointment. View Profile. It is expected that the clinical rationale for each requested procedure is specifically documented in the letter of medical necessity from the treating physician:.
Refer to Corporate Medical Policy 8. Based upon our assessment of the peer-reviewed literature, voice modification surgery has been medically proven to be effective and, therefore, will be reviewed on a case-by-case basis by a Health Plan medical director with experience in treating patients with mental health conditions, and may be considered medically appropriate when ALL of the following criteria are met:.
The patient has received a recommendation letter from a qualified mental health professional refer to Policy Guidelines below. The patient has been diagnosed with persistent gender dysphoria, including all of the following:. If significant medical or mental health concerns are present, they are reasonably well-controlled. The patient has completed a minimum of 24 months of masculinizing hormone therapy prior to seeking voice masculinization surgery, unless hormone therapy is medically contraindicated, or the patient is otherwise unable to take hormones.
Policy Issued By: Gateway Health. Policy Title: Gender Transition Services. The following gender confirmation surgeries are eligible services when all of the above criteria are met:. Policy Title: Gender Identity Services. The following services are generally not considered to be medically necessary, but will be reviewed on an individual basis in accord with Section II of this Medical Policy:.
Policy Issued By: Health Net. Policy Title: Gender Affirming Procedures. It is the policy of Health Net of California to consider voice modification surgery such as laryngoplasty or shortening of the vocal cords related to transgender dysphoria, consistent with World Professional Association for Transgender Health WPATH version 7 guidelines, according to the following:. Voice deepening surgery eg thyroplasty is considered medically necessary if the voice fails to deepen after 2 years of consistent masculinization hormone therapy.
Voice feminization surgery cricothyroid approximation or CTA is considered medically necessary when the following are met:. Acquisition of voice and communication skills for the transgender member, consistent with their sexual identity. The American Speech and Hearing Association states: The speech-language pathologist provides voice and communication training.
The SLP will look at a variety of aspects of communication including vocal pitch, intonation and resonance and nonverbal comunication. Policy Issued By: Medi-Cal. Policy Title: Transgender Services. Nationally recognized medical experts in the field of transgender health care have identified the following core services in treating gender dysphoria:.
Medical necessity is assessed and services shall be recommended by treating licensed mental health professionals and physicians and surgeons experienced in treating patients with gender dysphoria. Reconstructive surgery to create a normal appearance for transgender recipients is determined to be medically necessary for the treatment of gender dysphoria on a case-by-case basis. A service or the frequency of services available to a transgender recipient cannot be categorically limited.
All medically necessary services must be provided timely. Policy Title: Gender Confirming Surgery. The following adjunct procedures are considered medically necessary if the specific criteria is met for the procedure requested Policy Title: Gender Affirmation Surgery.
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