Evaluating the Use of New Technology. Is it Covered?

  • October 13, 2020
  • |Quartz
As you know, information is always subject to change.
There may have been updates since this blog post was published.
Questions? Please contact Customer Service
NCQA New Technology

We often look at new technologies to potentially include as a covered service. We will consider coverage when all the following criteria is met:

  1. The technology must be non-experimental and non-investigational.
  2. The new technology must be approved by the appropriate regulatory body.
  3. Research and review of evidence-based medicine must demonstrate that the new technology has a positive effect on health and is safe.
  4. The new technology must be more beneficial or less expensive than current alternative treatments.

If your provider asks Quartz to cover a treatment or service that requires new technology, we will make a coverage decision within five business days after receiving all the information needed to complete our evaluation. If coverage is denied, we will communicate the reason for the denial to your provider, as well as an explanation of our grievance process.


Load more comments
Thank you for the comment! Your comment must be approved first

Choose font size