JavaScript is disabled or unavailable.Medical PoliciesThese medical polices apply to our Wisconsin Marketplace plans.Current Medical Policies Navigate # A B C D E F G H I J K L M N O P Q R S T U V W X Y ZA Applied Behavior Analysis for Autism Spectrum Disorder B Breast Cancer Index® (BCI) for Managing Breast Cancer Treatment Breast Reconstruction Surgery Breast Reduction Surgery D Drug Testing Durable Medical Equipment Repairs E Epidural Steroid Injections F Facet Joint Interventions Fraction Flow Reserve from Computer Tomography (FFRct) G Gender Affirming Surgery Genetic Testing and Counseling H Hyperthermic Intraperitoneal Chemotherapy Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea I Inhaled Nitric Oxide Insulin Infusion Pump M Mechanical Stretching Devices Myoelectric Lower Extremity Prosthetic Technology N Negative Pressure Wound Therapy Neonatal Discharge Criteria Non-Emergency Facility to Facility Transfers Nutritional Supports P Peripheral Nerve Blocks for Treatment of Pain Peripheral Nerve Stimulators for the Treatment of Pain Peroral Endoscopic Myotomy Positive Airway Pressure Devices for Pulmonary Disorders Continued Rental ProACT Adjustable Continence Therapy R Radiofrequency and Microwave Ablation of Tumors S Sacroiliac Joint Procedures Safety Beds Saphenous Vein Ablation, Adhesive Injection Skin Substitutes Special Needs Car Seats Standing Frames T Temporomandibular Joint Disorder or Dysfunction (TMJD/TMD) Craniomandibular Jaw Disorder/Non-Surgical Treatment Transcranial Magnetic Stimulation for Treatment of Depression Trigger Point Injections Archived Medical Policies