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Optimum Healthcare policies, page 2

Search Optimum Healthcare'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.

1,402 public policies Substrate tracks for Optimum Healthcare, by title.

Optimum Healthcare policies
PolicyDetailsCodesSource
Affiliated CompaniesCommercial, Medicaid · CA—Original policy ↗
Affiliated CompaniesCommercial, Medicaid · VA—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideCommercial · CA—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2018 · Commercial · CT—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2019 · Commercial · ME—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2018 · Commercial · ME—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2021 · Commercial · ME—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2022 · Commercial · ME—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2019 · Commercial · NH—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2018 · Commercial · NH—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference Guide for Kentucky plans effective January 1, 2019Effective Jan 1, 2019 · Commercial · KY—Original policy ↗
Affordable Care Act (ACA)-Compliant Health Plans Quick Reference Guide for Ohio plans effective January 1, 2020Effective Jan 1, 2020 · Commercial · OH—Original policy ↗
Affordable Care Act Compliant Health Plans Quick Reference GuideCommercial · GA—Original policy ↗
Affordable Care Act Compliant Health Plans Quick Reference GuideCommercial · NV—Original policy ↗
Affordable Care Act Compliant Health Plans Quick Reference Guide 2021Commercial · NH—Original policy ↗
Affordable Care Act Quick Reference GuideCommercial · CO—Original policy ↗
Affordable Care Act-compliant health plans — quick reference guideEffective Jan 1, 2025 · Commercial · WI—Original policy ↗
After-Hours, Emergency, and Miscellaneous E/M Services – Professional and FacilityC-07001 · Effective Mar 1, 2025 · Commercial · VA6Original policy ↗
After-Hours, Emergency, and Miscellaneous E/M Services – Professional and FacilityC-07001 · Effective Oct 23, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI6Original policy ↗
After-Hours, Emergency, and Miscellaneous E/M Services – Professional and FacilityC-07001 · Effective Jul 1, 2026 · Commercial · CA6Original policy ↗
AIM Specialty Health (AIM) OverviewCommercial · CO—Original policy ↗
AIM Specialty Health (AIM) OverviewCommercial · NV—Original policy ↗
AIM Specialty Health (AIM) Quick Reference GuideCommercial · CO—Original policy ↗
AIM Specialty Health (AIM) Quick Reference GuideCommercial · NV—Original policy ↗
AIM Specialty Health Quick Reference GuideCommercial · CA—Original policy ↗
AIM Specialty Health SolutionsCommercial · CT, GA, NH, VA—Original policy ↗
Alcohol Use Assessment BrochureCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Allowed Virtual Services in Addition to CPT Appendix PMULTI-BCBS-CM-050974-24 · Effective Feb 17, 2024 · Commercial · CO, CT, GA, IN, KY, MO, NV, OH, WI96Original policy ↗
Ambulance Transportation - ProfessionalC-19001 · Effective Jun 1, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Ambulance Transportation - ProfessionalC-19001 · Effective Mar 1, 2025 · Commercial · VA—Original policy ↗
Ambulance Transportation – ProfessionalC-19001 · Effective Apr 1, 2026 · Commercial · CA—Original policy ↗
Ambulatory ElectroencephalographyCG-MED-46 · Commercial22Original policy ↗
AMH Medicare Advantage GuidebookEffective May 26, 2020 · Medicaid · ME—Original policy ↗
AMH Medicare Advantage GuidebookEffective Dec 1, 2020 · ME—Original policy ↗
AMH Medicare Advantage GuidebookEffective Apr 8, 2022 · Medicaid · ME—Original policy ↗
ANC.00006 Biomagnetic TherapyANC.00006 · Commercial1Original policy ↗
ANC.00007 Cosmetic and Reconstructive Services: Skin RelatedANC.00007 · Commercial26Original policy ↗
ANC.00008 Cosmetic and Reconstructive Services of the Head and NeckANC.00008 · Commercial61Original policy ↗
ANC.00009 Cosmetic and Reconstructive Services of the Trunk, Groin, and ExtremitiesANC.00009 · Commercial23Original policy ↗
Anesthesia Services - ProfessionalC-09002 · Effective Apr 1, 2026 · Commercial · CA33Original policy ↗
Anesthesia Services – ProfessionalC-09002 · Effective Mar 11, 2026 · Commercial · ME33Original policy ↗
Anesthesia Services – ProfessionalC-09002 · Effective Mar 1, 2025 · Commercial · VA21Original policy ↗
Anesthesia Services – ProfessionalC-09002 · Effective Mar 11, 2026 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI33Original policy ↗
Annual HEDIS CalendarCommercial, Medicaid · CA, CO, CT, GA, IN, KY, ME, MO, NH, OH, VA, WI—Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Dec 1, 2022 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Mar 1, 2024 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Jul 1, 2021 · Commercial · CO70Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Oct 1, 2021 · Commercial · CO70Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility Manualv2.080124 · Effective Nov 1, 2024 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Connecticut Provider ManualEffective Jul 1, 2020 · Commercial · CT14Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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