Radiation Therapy Policies

Refer to the links below for information regarding coverage for radiation therapy services. Clicking the links below take you away from the Patrius Health website to other websites. These sites are not the responsibility of or under the control of Patrius Health.

National Coverage Determinations

Refer to the following to search for National Coverage Determinations:
CMS National Coverage Database

Local Coverage Determinations

For Local Coverage Determinations, refer to the following site:
Novitas Solutions

In the absence of a National Coverage Determination or Local Coverage Determination, refer to eviCore Healthcare (eviCore) radiation therapy  guidelines. 

Patrius Health partners with eviCore (formerly CareCore National LLC) to administer radiation therapy solutions for our customers.

EviCore is our business associate and is an independent company that provides specialty benefit management services. EviCore has agreed to follow Patrius Health’s privacy and security policies regarding the confidentiality and protection of your personal health information.

Click the links below to view eviCore's radiation oncology clinical guidelines.

Current Radiation Therapy Policies

Previous Radiation Therapy Policies

Draft Radiation Therapy Policies

There are currently no policies in draft status.

Comment on Draft Policies

To ensure that the development of medical policies occurs through an open, collaborative process, we welcome comments about medical policies that are in the draft stage. 

Providers are invited to submit scientific, evidence-based information, professional consensus opinions and other information supported by medical literature relevant to draft policies for consideration. Comments are accepted for 45 days from the posting date listed on the draft policy.

How to Submit Comments

Make sure your voice is heard by providing feedback directly to us:

• Complete our online medical policy feedback form, or 

• Send comments by mail or fax to:

Medical Director's Office
Patrius Health
Attn: Health Management - Medical Policy
P.O. Box 12364
Birmingham, AL 35202-2364

Fax: 205-220-0878