Pulmonary Function Testing

Date: 02/27/23

Thank you for your continued partnership with Ambetter from Sunflower Health Plan. As you know, we continually review and update our payment and utilization policies to ensure that they comply with industry standards while delivering the best patient experience to our members.

We would like to inform you that Ambetter from Sunflower Health Plan will implement the following new payment policy, effective on or after April 1, 2023.

CP.MP.242 Pulmonary Function Testing - Limits pulmonary function testing to members over the age of three and for medically necessary indications.

For detailed information about these policies, please refer to our Clinical and Payment Policies page.

If you have questions about this or any of our payment policies, please contact your Provider Relations Representative or call Ambetter from Sunflower Health Plan Provider Services at 1-844-518-9505 (TTY 711).