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Medical Policy Manual

Medical Policy Manual Table of Contents 1. Library Reference Number: Revision Date: December 2014. Version: Table of Contents Contents 9. Abortion Services .. 27. Anesthesia Services .. 34. Bariatric surgery and Revisions .. 46. Cardiac Rehabilitation .. 55. 63. Clinic Services Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Services .. 76. Clinical Trials .. 81. Collagen Implants for Stress Urinary Incontinence (SUI) .. 85. Consultations Second Opinions .. 88. Dental Services .. 99. Dermatology .. 120. Diabetes Self-Management Training .. 122. Diagnostic 126. Emergency Medicine Cardiopulmonary Resuscitation (CPR).

Surgery - Plastic and Reconstructive Surgery ... The Medical Policy Manual has been developed to ensure the success of the Indiana Health Coverage Programs (IHCP). This manual will be used as a reference handbook for the Family

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