Molina HealthCare Idaho policies, page 9
Search Molina HealthCare Idaho's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
410 public policies Substrate tracks for Molina HealthCare Idaho, by title.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Wheelchair-Mounted Robotic Arm Devices | 446 · Effective Dec 10, 2025 · Commercial, Medicaid | 2 | Original policy ↗ |
| Whole Body MRI | Commercial, Medicaid | 2 | Original policy ↗ |
| Wireless Capsule for the Evaluation of Suspected Gastric and Intestinal Motility Disorders | 382 · Effective Jun 10, 2026 · Commercial, Medicaid | 1 | Original policy ↗ |
| Wireless Pulmonary Artery Pressure Monitoring (CardioMEMS) for Congestive Heart Failure | 393 · Commercial, Medicaid | 5 | Original policy ↗ |
| Xenoview (Xenon MRI) | Commercial | 2 | Original policy ↗ |
| Yescarta (axicabtagene ciloleucel) | Commercial, Medicaid | 5 | Original policy ↗ |
| Zevaskyn (prademagene zamikeracel) | Commercial, Medicaid | 1 | Original policy ↗ |
| Zevaskyn (prademagene zamikeracel) MEDICARE | 1 | Original policy ↗ | |
| Zolgensma (onasemnogene abeparvovec) | 348 · Effective Jun 10, 2026 · Commercial | 3 | Original policy ↗ |
| Zynteglo (betibeglogene autotemcel) | 420 · Effective Jun 10, 2026 · Commercial, Medicaid | 3 | Original policy ↗ |