Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 2026. Changes appear here after Backwork reviews and applies a refresh, so this page can trail the payers’ own sites.

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Recorded changes

86,510 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
May 25, 2026	UnitedHealthcare	Radiation Therapy: Fractionation, Image-Guidance, and Special ServicesPayerPolicy · UHC-COMM-MD-RADIATION-THERAPY-FRACTIONATION-IMAGE-GUIDANCE-SPECIAL-SERVICES-CS	New policy
May 25, 2026	UnitedHealthcare	Qalsody (Tofersen) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-QALSODY-CS	New policy
May 25, 2026	UnitedHealthcare	Provider Administered Drugs – Site of Care – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-PROVIDER-ADMINISTERED-DRUGS-SITE-CARE-CS	New policy
May 25, 2026	UnitedHealthcare	Proton Beam Radiation TherapyPayerPolicy · UHC-COMM-MD-PROTON-BEAM-RADIATION-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Prostate Surgeries and InterventionsPayerPolicy · UHC-COMM-MD-PROSTATE-SURGERIES-AND-INTERVENTIONS-CS	New policy
May 25, 2026	UnitedHealthcare	Prolotherapy and Platelet Rich Plasma TherapiesPayerPolicy · UHC-COMM-MD-PROLOTHERAPY-MUSCULOSKELETAL-INDICATIONS-CS	New policy
May 25, 2026	UnitedHealthcare	Private Duty Nursing ServicesPayerPolicy · UHC-COMM-MD-PRIVATE-DUTY-NURSING-SERVICES-CS	New policy
May 25, 2026	UnitedHealthcare	Private Duty Nursing Services (for Florida Only)PayerPolicy · UHC-COMM-MD-PRIVATE-DUTY-NURSING-SERVICES-FL-CS	New policy
May 25, 2026	UnitedHealthcare	Preimplantation Genetic Testing and Related ServicesPayerPolicy · UHC-COMM-MD-PREIMPLANTATION-GENETIC-TESTING-CS	New policy
May 25, 2026	UnitedHealthcare	Pneumatic Compression DevicesPayerPolicy · UHC-COMM-MD-PNEUMATIC-COMPRESSION-DEVICES-CS	New policy
May 25, 2026	UnitedHealthcare	Plagiocephaly and Craniosynostosis TreatmentPayerPolicy · UHC-COMM-MD-PLAGIOCEPHALY-CRANIOSYNOSTOSIS-TREATMENT-CS	New policy
May 25, 2026	UnitedHealthcare	Pharmacogenetic Panel TestingPayerPolicy · UHC-COMM-MD-PHARMACOGENETIC-TESTING-CS	New policy
May 25, 2026	UnitedHealthcare	Percutaneous Vertebroplasty and KyphoplastyPayerPolicy · UHC-COMM-MD-PERCUTANEOUS-VERTEBROPLASTY-KYPHOPLASTY-CS	New policy
May 25, 2026	UnitedHealthcare	Percutaneous Patent Foramen Ovale (PFO) ClosurePayerPolicy · UHC-COMM-MD-PERCUTANEOUS-PATENT-FORAMEN-OVALE-CLOSURE-CS	New policy
May 25, 2026	UnitedHealthcare	Pediatric Gait Trainers and Standing SystemsPayerPolicy · UHC-COMM-MD-PEDIATRIC-GAIT-TRAINERS-STANDING-SYSTEMS-CS	New policy
May 25, 2026	UnitedHealthcare	Parsabiv (Etelcalcetide) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-PARSABIV-ETELCALCETIDE-CS	New policy
May 25, 2026	UnitedHealthcare	Papzimeos (Zopapogene Imadenovec-Drba) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-PAPZIMEOS-CS	New policy
May 25, 2026	UnitedHealthcare	Panniculectomy SurgeryPayerPolicy · UHC-COMM-MD-PANNICULECTOMY-BODY-CONTOURING-PROCEDURES-CS	New policy
May 25, 2026	UnitedHealthcare	Oxlumo (Lumasiran) and Rivfloza (Nedosiran) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OXLUMO-CS	New policy
May 25, 2026	UnitedHealthcare	Outpatient Surgical Procedures – Site of ServicePayerPolicy · UHC-COMM-MD-OUTPATIENT-SURG-PROCEDURES-SITE-SERVICE-CS	New policy
May 25, 2026	UnitedHealthcare	Orthognathic (Jaw) SurgeryPayerPolicy · UHC-COMM-MD-ORTHOGNATHIC-JAW-SURGERY-CS	New policy
May 25, 2026	UnitedHealthcare	Orencia (Abatacept) Injection for Intravenous Infusion – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ORENCIA-ABATACEPT-INJECTION-INTRAVENOUS-INFUSION-CS	New policy
May 25, 2026	UnitedHealthcare	Ophthalmologic Vascular Endothelial Growth Factor (VEGF) Inhibitors – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OPHTHALMOLOGIC-VASCULAR-ENDOTHELIAL-GROWTH-FACTOR-INHIBITORS-CS	New policy
May 25, 2026	UnitedHealthcare	Ophthalmologic Complement Inhibitors – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OPHTHALMOLOGIC-COMPLEMENT-INHIBITORS-CS	New policy
May 25, 2026	UnitedHealthcare	Oncology Medication Clinical Coverage – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ONCOLOGY-MEDICATION-CLINICAL-COVERAGE-POLICY-CS	New policy
May 25, 2026	UnitedHealthcare	Omvoh (Mirikizumab-Mrkz) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OMVOH-CS	New policy
May 25, 2026	UnitedHealthcare	Omnibus CodesPayerPolicy · UHC-COMM-MD-OMNIBUS-CODES-CS	New policy
May 25, 2026	UnitedHealthcare	Off-Label/Unproven Specialty Drug Treatment – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OFF-LABEL-UNPROVEN-SPECIALTY-DRUG-TREATMENT-CS	New policy
May 25, 2026	UnitedHealthcare	Ocular PhotoscreeningPayerPolicy · UHC-COMM-MD-OCULAR-PHOTOSCREENING-CS	New policy
May 25, 2026	UnitedHealthcare	Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OCREVUS-OCRELIZUMAB-CS	New policy
May 25, 2026	UnitedHealthcare	Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)PayerPolicy · UHC-COMM-MD-OCCIPITAL-NEURALGIA-HEADACHE-TREATMENT-CS	New policy
May 25, 2026	UnitedHealthcare	Obstructive and Central Sleep Apnea TreatmentPayerPolicy · UHC-COMM-MD-OBSTRUCTIVE-SLEEP-APNEA-TREATMENT-CS	New policy
May 25, 2026	UnitedHealthcare	Nplate (Romiplostim) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-NPLATE-CS	New policy
May 25, 2026	UnitedHealthcare	Noncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for WoundsPayerPolicy · UHC-COMM-MD-NONCONTACT-WARMING-THERAPY-ULTRASOUND-THERAPY-WOUNDS-CS	New policy
May 25, 2026	UnitedHealthcare	Niktimvo (Axatilimab-Csfr) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-NIKTIMVO-CS	New policy
May 25, 2026	UnitedHealthcare	Neurophysiologic Testing and MonitoringPayerPolicy · UHC-COMM-MD-NEUROPHYSIOLOGIC-TESTING-CS	New policy
May 25, 2026	UnitedHealthcare	Nerve Graft to Restore Erectile Function During Radical ProstatectomyPayerPolicy · UHC-COMM-MD-NERVE-GRAFT-TO-RESTORE-ERECTILE-FUNCTION-F454969E77	New policy
May 25, 2026	UnitedHealthcare	Negative Pressure Wound TherapyPayerPolicy · UHC-COMM-MD-NEGATIVE-PRESSURE-WOUND-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Natalizumab (Tyruko & Tysabri) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-NATALIZUMAB-CS	New policy
May 25, 2026	UnitedHealthcare	Motorized Spinal TractionPayerPolicy · UHC-COMM-MD-MOTORIZED-SPINAL-TRACTION-CS	New policy
May 25, 2026	UnitedHealthcare	Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-MONOCLONAL-ANTIBODIES-AMYLOID-ALZHEIMERS-DISEASE-CS	New policy
May 25, 2026	UnitedHealthcare	Molecular Oncology Testing for Solid Tumor Cancer Diagnosis, Prognosis, and Treatment DecisionsPayerPolicy · UHC-COMM-MD-MOLECULAR-ONCOLOGY-TESTING-CANCER-DIAGNOSIS-PROGNOSIS-TREATMENT-DECISIONS-CS	New policy
May 25, 2026	UnitedHealthcare	Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment DecisionsPayerPolicy · UHC-COMM-MD-MOLECULAR-ONCOLOGY-HEMATOLOGIC-CANCER-DIAGNOSIS-CS	New policy
May 25, 2026	UnitedHealthcare	Minimally Invasive Spine Surgery ProceduresPayerPolicy · UHC-COMM-MD-MINIMALLY-INVASIVE-SPINE-SURGERY-CS	New policy
May 25, 2026	UnitedHealthcare	Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal DiseasesPayerPolicy · UHC-COMM-MD-MINIMALLY-INVASIVE-PROCEDURES-GERD-ACHALASIA-CS	New policy
May 25, 2026	UnitedHealthcare	Medical Therapies for Enzyme Deficiencies – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-MEDICAL-THERAPIES-ENZYME-DEFICIENCIES-CS	New policy
May 25, 2026	UnitedHealthcare	Mechanical Stretching DevicesPayerPolicy · UHC-COMM-MD-MECHANICAL-STRETCHING-DEVICES-CS	New policy
May 25, 2026	UnitedHealthcare	Maximum Dosage and Frequency – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-MAXIMUM-DOSAGE-POLICY-CS	New policy
May 25, 2026	UnitedHealthcare	Manipulative TherapyPayerPolicy · UHC-COMM-MD-MANIPULATIVE-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Manipulation Under AnesthesiaPayerPolicy · UHC-COMM-MD-MANIPULATION-UNDER-ANESTHESIA-CS	New policy