Effective Date: Oct. 1, 2026

Health Plans Affected: Advantage MD, Employer Health Programs (EHP), Priority Partners, US Family Health Plan (USFHP)

Type of Change: Medical Policy

Explanation of Change:

The Johns Hopkins Health Plans Medical Policy Advisory Committee (MPAC) has approved the following updates to our medical policies. These changes will go into effect Oct. 1, 2026.

View the Medical Policy Updates

Changes this quarter include:

• Revised
  • CMS21.01 - Neuromodulation for Bladder and Bowel Dysfunction (Formerly: “Neuromodulation for Overactive Bladder, Urinary Retention and Fecal Incontinence)
    
  • CMS11.02 - Preventive Health Guidelines
    
  • CMS 16.02 - Treatment for Skin Conditions
  • CMS19.07 - Stretching Devices for the Treatment of Joint Stiffness & Contracture
    
  • CMS23.07 - Infertility Treatment & Fertility Preservation
    
• Retired
  
  • CMS03.08 - Panniculectomy
• Focused Updates
  
  • CMS24.26 - Cell and Gene Therapy Access Model
    
  • CMS23.05 - Site of Service- Outpatient Surgical Procedures
    

To view the full descriptions of these policies, please visit the Medical Policies section of the Johns Hopkins Health Plans website on or after the effective date or call Provider Relations at 888-895-4998 (option 4).