Harvard Pilgrim has updated our commercial Biofeedback Medical Policy. Under the updated policy, which is effective immediately, biofeedback therapy will be reimbursed for the following:
- Muscle re-education of specific muscle groups
- Treatment of pathological muscle abnormalities of spasticity, incapacitating muscle spasms, or muscle weakness, when conventional treatments have not been successful
The policy also includes additional criteria for ongoing biofeedback treatment, which Harvard Pilgrim will reimburse as medically necessary for up to 2-3 visits per week, for no longer than 6-8 weeks for single or combination medical conditions. Treatment plans with no benefit after 4 weeks of therapy may be re-evaluated. For complete criteria and coverage exclusions, please refer to Harvard Pilgrim’s updated Biofeedback Medical Policy.