Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice.Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". The list of reformatted CPBs will be found in the “What’s New” section below. The reformatted CPBs will be released in three phases, starting with 22 CPBs updated in mid-February. Instead, use the link below.Ī new format for 61 select CPBs will be implemented in 2022: This updated format includes a Table of Contents with links, a new Policy section format segmented by medical necessity, experimental and investigational, and cosmetic, and a new Glossary of Terms section. We have different CPBs for Pennsylvania Medicaid. Guidelines from nationally recognized health care organizationsĪttention Pennsylvania Medicaid providers.Expert opinions of health care professionals.A review of available studies on a particular topic.Peer-reviewed, published medical journals.They help us decide what we will and will not cover. Medical Clinical Policy Bulletins (CPBs) detail the services and procedures we consider medically necessary, cosmetic, or experimental and unproven.
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