June 2026 Policy Updates

Created and published this coding/reimbursement policy.

Created and published this medical policy. Coverage criteria and exclusion of AirLift are outlined below: "Select Health may cover hyoid suspension performed separately or combined, as it is considered effective when performed as part of the comprehensive surgical management of symptomatic adult patients with mild obstructive sleep apnea and adult patients with moderate and severe obstructive sleep apnea assessed as having tongue base or hypopharyngeal obstruction. Select Health does NOT cover minimally invasive hyoid suspension procedures using a suspension suture anchored to the lingual surface of the anterior mandible (e.g., AirLift) to treat obstructive sleep apnea, as there is insufficient literature proving safety and efficacy of these types of procedures. This meets the plan’s definition of experimental/investigational."

For Commercial Plan Policy, revised this coding/reimbursement policy as outlined below: "Effective 4/1/2026, Select Health Commercial does not cover the Spravato medication, administration, or observation.”

For Commercial Plan Policy, removed previous criterion #2 concerning requirement of completion of a cystoscopy in Urinary section.

For Commercial Plan Policy, modified coverage criteria as follows: “Select Health covers acute inpatient rehabilitation when either A or B are met: A. Approved if recommended and performed by Intermountain Acute Care Rehabilitation; OR B. For all other clinicians, Select Health covers these services when the appropriate InterQual product guidelines are met: LOC: Inpatient Rehabilitation.”