IVIG or SCIG is requested within the first 100 days post-transplant or.
IVIG or SCIG is prescribed for prophylaxis of bacterial infections and.
Initial therapy is considered medically necessary for members who are BMT/HSCT recipients when the following criteria are met:
Prophylaxis of Bacterial Infections in BMT/HSCT Recipients.
Member has chronic bronchiectasis that is suboptimally responsive to antimicrobial and pulmonary therapy Ĭontinued therapy is considered medically necessary when a reduction in the frequency of bacterial infections has been demonstrated since initiation of IVIG therapy.
Member has been exposed to measles and request is for a single dose, or.
Member lives in an area where measles is highly prevalent and who have not developed an antibody response after two doses of measles, mumps, and rubella virus vaccine live, or.
Member has failed to form antibodies to common antigens, such as measles, pneumococcal, and/or Haemophilus influenzae type b vaccine, or.
Pretreatment IgG level 2 serious bacterial infections in a 1-year period), or Severe combined immunodeficiency (SCID) or congenital agammaglobulinemia (eg, X-linked or autosomal recessive agammaglobulinemia):ĭiagnosis confirmed by genetic or molecular testing, or Intravenous Immunoglobulins (IVIG) and Subcutaneous Immunoglobulins (SCIG)Īetna considers the use of intravenous immunoglobulin (IVIG) therapy or subcutaneous immunoglobulin (SCIG) therapy medically necessary in members with the conditions specified below. For information on site of service for Immunoglobulin infusions, see Utilization Management Policy on Site of Care for Specialty Drug Infusions. Note: Site of Care Utilization Management Policy applies to the IVIG and the SCIG products listed above. To find a qualified occupational therapist, see Occupational Therapy Australia.Precertification of intravenous immunoglobulins (IVIG) and subcutaneous immunoglobulins (SCIG) is required of all Aetna participating providers and members in applicable plan designs.
knowledge of road rules, application of road rules.
You may need a driving assessment by an occupational therapist to get or renew your licence.ĭriver trained occupational therapists are qualified to assess all areas of driving. These are legal requirements you must follow when driving or riding. Sometimes we may apply conditions to your licence. The notice will outline why we have made this decision and the actions you can take. If we make a decision to change your licence, we'll notify you in writing. If you do not meet the medical standards, we may need to suspend, vary, refuse or cancel your licence. Transport for NSW will make the final decision about your licence. Your doctor will advise Transport for NSW on how you meet the appropriate medical standards. Your doctor will advise how your medical condition can affect your ability to drive safely, and how it can be managed.