Our Sleep Medicine program is an extension to our existing utilization management (UM) program. The program is designed to manage testing and therapy services for sleep disorders and is administered by Carelon Medical Benefits Management (Carelon). Services managed under this program include:
- Titration studies
- Oral appliances for sleep therapy
- In-lab sleep studies (polysomnography [PSG])
- Initial treatment order (automatic positive airway pressure [APAP], continuous positive airway pressure [CPAP], bilevel positive airway pressure [BiPAP])
Ongoing treatment orders (APAP, CPAP or BiPAP)
Physicians and other health care professionals ordering services listed above must first contact Carelon to request an order number prior to services being rendered. View the codes that require an order number on our Pre-authorization Lists.
Use the tabs below to learn more about our Sleep Medicine program.