The policy change went into effect on August 19. Anthem's previous policy limited access to hospital-based advanced imaging to children ages 10 and younger.
In April, the American College of Radiology and the Society of Pediatric Radiology sent a letter to Anthem urging the insurer to expand its site of care medically necessary criteria. The societies said they engaged in a productive dialog with Anthem on August 11 and that the insurer made the decision to update the policy shortly thereafter.
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