clearhealthalliance policy updates
Track new and updated clearhealthalliance policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Benefit Exhaustion (Benefit Exception Requests) | Clearhealthalliance | Clinical | Other | Modified | Mar 22, 2025 |
| Non-covered benefit general policy | Clearhealthalliance | Clinical | Other | Modified | Oct 18, 2024 |
| State-Funded Enhanced Mental Health and Substance Use Services | Clearhealthalliance | Clinical | Psychiatry/Behavioral Health | Modified | Oct 1, 2024 |
| NC Core Code Implementation for New 1915(i) and 1915(b)(3) — H2023 Supported Employment Services | Clearhealthalliance | Reimbursement | — | Modified | Oct 1, 2024 |
| NC Medicaid Nursing Facility Services | Clearhealthalliance | Clinical | Post-Acute & Facility Care | Modified | Aug 1, 2024 |
| State-Funded Outpatient Behavioral Health Services | Clearhealthalliance | Clinical | Psychiatry/Behavioral Health | Modified | Jun 1, 2023 |
| Application for a §1915(c) Home and Community-Based Services (HCBS) Waiver — NC TBI Waiver | Clearhealthalliance | Administrative | — | Modified | Apr 1, 2022 |
| Tear Osmolarity Testing | Clearhealthalliance | Clinical | Ophthalmology/Optometry | Modified | Jan 1, 2020 |
| Table of Contents for Policy 8A-10 | Clearhealthalliance | Administrative | — | Modified | — |
| NC Innovations Waiver Overview | Clearhealthalliance | Administrative | — | Modified | — |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.