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Electric Tumor Treatment Field Therapy (for Idaho Only)
Effective date
Oct 1, 2026
Identified
Sep 2, 2026
Summary
UnitedHealthcare Community Plan of Idaho updated its policy on Electric Tumor Treatment Field Therapy, adding a critical notation that HCPCS code E0767 is NOT on the State of Idaho Medicaid Fee Schedule and therefore may not be covered by Idaho Medicaid. Billing teams must verify coverage eligibility before submitting claims for this equipment code.
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What to do
Action · 4 steps
01Before October 1, 2026: Billing team must update internal systems and denial management protocols to flag HCPCS code E0767 as non-covered for all Idaho Medicaid claims.
02Add a hard stop or alert in billing software to prevent submission of E0767 claims without explicit prior verification of alternative coverage or patient financial responsibility notification.
03Providers should be notified via bulletin that this device is excluded from Idaho Medicaid Fee Schedule coverage.
04Reference the Idaho Medicaid Provider Handbook for non-covered services guidance when fielding patient or provider inquiries.
If missed: Failure to identify this as non-covered pre-submission will result in claim denials and potential patient balance issues.
Codes mentioned
E0767
Original notice
Electric Tumor Treatment Field Therapy (for Idaho Only)
uhcprovider.com · Always check the source before changing claims.