Adult Palliative Care Eligibility Assessment
The member has a Palliative Performance Scale (PPS) or Karnofsky Performance Scale (KPS) score less than or equal to 70 or an Eastern Cooperative Oncology Group (ECOG) score of 3 or 4 or has failed of two lines of standard of care therapy (chemotherapy or radiation therapy) 4. Liver Disease: Irreversible Liver Damage AND . BOTH of the following: ................
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