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Coverage criteria policies

CoOportunity Health has Medical Policies that contain coverage criteria and guidelines that describe how we make coverage decisions for certain health care services and items. Please call our Member Services Department at 1.888.324.2064 if you have any questions.

The information presented regarding coverage criteria and guidelines is regularly updated and is subject to change without notice.  Read moreā€¦

If unsure of the keyword spelling, enter the first three letters of the word followed by an asterisk (*). Example: enter acu* to locate the acupuncture policy.

Policy search filters

Viewing 7 of 422 policies
Policy name Policy category Product Prior authorization required
Fecal microbiota transplantMedical ServicesCoOportunity Health
Iowa
Nebraska
No
Feeding/oral function therapy, pediatricMedical ServicesCoOportunity Health
Iowa
Nebraska
Yes
Flutter deviceEquipment/SuppliesCoOportunity Health
Iowa
Nebraska
No
Foot careMedical ServicesCoOportunity Health
Iowa
Nebraska
No
Formula – amino acid based elementalEquipment/SuppliesCoOportunity Health
Iowa
Nebraska
Yes
Functional capacity evaluations (FCE/FCA)OtherCoOportunity Health
Iowa
Nebraska
No
Functional electrical stimulation (FES) in the homeEquipment/Supplies
Investigational
CoOportunity Health
Iowa
Nebraska
No
Viewing 7 of 422 policies
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