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Behavioral Health Management

Our Behaviorial Health Management Department focuses on improving the quality of life for people suffering from mental health or substance abuse issues (MHSA) and is a key aspect of a person’s overall health and wellbeing.   Learn More >>>

Mental Health Parity

The Mental Health Parity Act is effective October 3, 2009. Click here to learn more about the Act and how it affects you.   Learn More >>>

Medical Policies

1.0 Durable Medical Equipment


1.01 Durable Medical Equipment Introduction 

Medically Necessary and Investigational 

For Blue Cross of Idaho`s definition of medically necessary and investigational, please click here. 
1.01.01 Air Fluidized Beds 
1.01.02 Automated Ambulatory Blood Pressure Monitoring for the Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure 
1.01.03 Blood Glucose Monitors (Glucometers) 
1.01.04 Phototherapy Light for the Treatment of Seasonal Affective and Other Depressive Disorders 
1.01.05 Ultrasound Accelerated Fracture Healing Device 
1.01.06 Home Apnea Monitors
1.01.07 Home Phototherapy for Neonatal Jaundice
1.01.08 External Infusion Pumps
1.01.09 Transcutaneous Electrical Nerve Stimulator (TENS)
1.01.10 Continuous Passive Motion (CPM) in the Home Setting
1.01.11 Adjustable Banding as a Treatment of Plagiocephaly
1.01.12 Oxygen
1.01.13 H-wave Electrical Stimulation 
1.01.14 Home Prothrombin Time Monitoring 
1.01.15 Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders 
1.01.16 Negative Pressure Therapy for the Treatment of Chronic Wounds 
1.01.17 Pelvic Floor Stimulation as a Treatment of Urinary Incontinence 
1.01.18 Lymphedema Pumps 
1.01.19 Threshold Electrical Stimulation as a Treatment of Motor Disorders 
1.01.20 Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid 
1.01.21 Mechanical Insufflation-Exsufflation as a Expiratory Muscle Aid 
1.01.22 Skin Contact Monochromatic Infrared Energy as a Technique to Treat Cutaneous Ulcers, Diabetic Neuropathy, and Miscellaneous Musculoskeletal Conditions 
1.01.23 Transtympanic Micropressure Applications as a Treatment of Meniere`s Disease 
1.01.24 Interferential Stimulation for Treatment of Pain  
1.01.25 Microprocessor-Controlled Prostheses of the Lower Limb 
1.01.26 Cooling Devices Used in the Outpatient Setting 
1.01.27 Electrical Stimulation for the Treatment of Arthritis 
1.01.28 Breast Pump Rental
1.01.29 Continuous Pulse Oximetry for Home Use
1.01.99 Insulin Infusion Pumps for the Treatment of Diabetes Mellitus 
1.01.100 Stretching Devices for the Treatment of Joint Stiffness and Contracture
1.02 Medical Supplies Introduction 
1.02.01 Total Parenteral Nutrition and Enteral Nutrition in the Home 
1.03 Orthotic Devices Introduction 
1.03.01 Orthotics
1.03.02 Knee Braces 
1.04 Prosthetic Appliances Introduction 
1.04.01 Prosthetics
1.04.02 Thoracic-Lumbo-Sacral Orthosis with Pneumatics 
1.04.04 Myoelectric Prosthesis for the Upper Limb 


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