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	Mandatory Medicaid Coverage of Routine Patient Costs in Qualifying Clinical TrialsPayerPolicy · UHC-COMM-MD-MANDATORY-MEDICAID-COVERAGE-QUALIFYING-CLINICAL-TRIALS-CS	New policy
May 25, 2026	UnitedHealthcare	Luxturna (Voretigene Neparvovec-Rzyl) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-LUXTURNA-VORETIGENE-NEPARVOVEC-RZYL-CS	New policy
May 25, 2026	UnitedHealthcare	Lower Extremity ProstheticsPayerPolicy · UHC-COMM-MD-LOWER-EXTREMITY-PROSTHETICS-CS	New policy
May 25, 2026	UnitedHealthcare	Lower Extremity Endovascular ProceduresPayerPolicy · UHC-COMM-MD-LOWER-EXTREMITY-VASCULAR-ANGIOGRAPHY-CS	New policy
May 25, 2026	UnitedHealthcare	Long-Acting Injectable Antiretroviral Agents for HIV – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-LONG-ACTING-INJECTABLE-ANTIRETROVIRAL-AGENTS-CS	New policy
May 25, 2026	UnitedHealthcare	Liposuction for LipedemaPayerPolicy · UHC-COMM-MD-LIPOSUCTION-FOR-LIPEDEMA-CS	New policy
May 25, 2026	UnitedHealthcare	Light and Laser TherapyPayerPolicy · UHC-COMM-MD-LIGHT-LASER-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Leqvio (Inclisiran) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-LEQVIO-INCLISIRAN-CS	New policy
May 25, 2026	UnitedHealthcare	Lemtrada (Alemtuzumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-LEMTRADA-ALEMTUZUMAB-CS	New policy
May 25, 2026	UnitedHealthcare	Krystexxa (Pegloticase) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KRYSTEXXA-PEGLOTICASE-CS	New policy
May 25, 2026	UnitedHealthcare	Korsuva (Difelikefalin) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KORSUVA-CS	New policy
May 25, 2026	UnitedHealthcare	Ketalar (Ketamine) and Spravato (Esketamine) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KETALAR-SPRAVATO-CS	New policy
May 25, 2026	UnitedHealthcare	Kebilidi (Eladocagene Exuparvovec-Tneq) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KEBILIDITM-ELADOCAGENE-EXUPARVOVEC-TNEQ-5F8D97842B	New policy
May 25, 2026	UnitedHealthcare	Intravenous Iron Replacement Therapy (Feraheme, Injectafer, & Monoferric) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-IV-IRON-REPLACEMENT-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Intravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-INTRAVENOUS-ENZYME-REPLACEMENT-THERAPY-GAUCHER-DISEASE-CS	New policy
May 25, 2026	UnitedHealthcare	Intracanalicular and Intravitreal Corticosteroid Implants – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-INTRAVITREAL-CORTICOSTEROID-IMPLANTS-CS	New policy
May 25, 2026	UnitedHealthcare	Interspinous Fusion and Decompression DevicesPayerPolicy · UHC-COMM-MD-INTERSPINOUS-FUSION-DECOMPRESSION-DEVICES-CS	New policy
May 25, 2026	UnitedHealthcare	Intensity-Modulated Radiation TherapyPayerPolicy · UHC-COMM-MD-INTENSITY-MODULATED-RADIATION-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Injectable Dermal Fillers and Bulking AgentsPayerPolicy · UHC-COMM-MD-INJECTABLES-RECONSTRUCTIVE-PROCEDURES-CS	New policy
May 25, 2026	UnitedHealthcare	Inhaled Nitric Oxide TherapyPayerPolicy · UHC-COMM-MD-INHALED-NITRIC-OXIDE-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Infliximab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-INFLIXIMAB-CS	New policy
May 25, 2026	UnitedHealthcare	Implanted Electrical Stimulator for the Spinal CordPayerPolicy · UHC-COMM-MD-IMPLANTED-ELECTRICAL-STIMULATOR-SPINAL-CORD-CS	New policy
May 25, 2026	UnitedHealthcare	Implantable Loop Recorders and Wearable Heart Rhythm MonitorsPayerPolicy · UHC-COMM-MD-IMPLANTABLE-RECORDERS-WEARABLE-MONITORS-CS	New policy
May 25, 2026	UnitedHealthcare	Immune Globulin (IVIG and SCIG) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-IMMUNE-GLOBULIN-IVIG-SCIG-CS	New policy
May 25, 2026	UnitedHealthcare	Ilumya (Tildrakizumab-Asmn) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ILUMYA-TILDRAKIZUMAB-ASMN-CS	New policy
May 25, 2026	UnitedHealthcare	Ilaris (Canakinumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ILARIS-CANAKINUMAB-CS	New policy
May 25, 2026	UnitedHealthcare	HysterectomyPayerPolicy · UHC-COMM-MD-HYSTERECTOMY-CS	New policy
May 25, 2026	UnitedHealthcare	Hospital Services: Observation and InpatientPayerPolicy · UHC-COMM-MD-HOSPITAL-SERVICES-OBSERVATION-INPATIENT-CS	New policy
May 25, 2026	UnitedHealthcare	Home Traction TherapyPayerPolicy · UHC-COMM-MD-HOME-TRACTION-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Home Health, Skilled, and Custodial Care ServicesPayerPolicy · UHC-COMM-MD-HOME-HEALTH-CARE-CS	New policy
May 25, 2026	UnitedHealthcare	Hereditary Angioedema (HAE), Treatment and Prophylaxis – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-HEREDITARY-ANGIOEDEMA-TREATMENT-PROPHYLAXIS-CS	New policy
May 25, 2026	UnitedHealthcare	Hearing Aids and Devices Including Wearable, Bone-Anchored, and Semi-ImplantablePayerPolicy · UHC-COMM-MD-HEARING-AIDS-DEVICES-INCLUDING-WEARABLE-BONE-ANCHORED-SEMI-IMPLANTABLE-CS	New policy
May 25, 2026	UnitedHealthcare	Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) – Site of Service (for Florida Only)PayerPolicy · UHC-COMM-MD-HABILITATION-REHABILITATION-THERAPY-SOS-FL-CS	New policy
May 25, 2026	UnitedHealthcare	Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech)PayerPolicy · UHC-COMM-MD-HABILITATION-REHABILITATION-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) (for Florida Only)PayerPolicy · UHC-COMM-MD-HABILITATION-REHABILITATION-THERAPY-FL-CS	New policy
May 25, 2026	UnitedHealthcare	Gynecomastia SurgeryPayerPolicy · UHC-COMM-MD-GYNECOMASTIA-TREATMENT-CS	New policy
May 25, 2026	UnitedHealthcare	Gynecomastia Surgery (for Florida Only)PayerPolicy · UHC-COMM-MD-GYNECOMASTIA-TREATMENT-FL-CS	New policy
May 25, 2026	UnitedHealthcare	Gonadotropin Releasing Hormone Analogs – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GONADOTROPIN-RELEASING-HORMONE-ANALOGS-CS	New policy
May 25, 2026	UnitedHealthcare	Glaucoma Surgical TreatmentsPayerPolicy · UHC-COMM-MD-GLAUCOMA-SURGICAL-TREATMENTS-CS	New policy
May 25, 2026	UnitedHealthcare	Givlaari (Givosiran) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GIVLAARI-GIVOSIRAN-CS	New policy
May 25, 2026	UnitedHealthcare	Genetic Testing for Neurological DisordersPayerPolicy · UHC-COMM-MD-GENETIC-TESTING-NEUROMUSCULAR-DISORDERS-CS	New policy
May 25, 2026	UnitedHealthcare	Genetic Testing for Hereditary CancerPayerPolicy · UHC-COMM-MD-GENETIC-TESTING-HEREDITARY-CANCER-CS	New policy
May 25, 2026	UnitedHealthcare	Genetic Testing for Cardiac DiseasePayerPolicy · UHC-COMM-MD-GENETIC-TESTING-CARDIAC-DISEASE-CS	New policy
May 25, 2026	UnitedHealthcare	Gene Therapies for Hemophilia B – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GENE-THERAPIES-FOR-HEMOPHILIA-B-COMMUNIT-FE4957963B	New policy
May 25, 2026	UnitedHealthcare	Gender Dysphoria TreatmentPayerPolicy · UHC-COMM-MD-GENDER-DYSPHORIA-TREATMENT-CS	New policy
May 25, 2026	UnitedHealthcare	Gazyva (Obinutuzumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GAZYVA-CS	New policy
May 25, 2026	UnitedHealthcare	Gastrointestinal Pathogen Nucleic Acid Detection Panel Testing for Infectious DiarrheaPayerPolicy · UHC-COMM-MD-GASTROINTESTINAL-PATHOGEN-TESTING-INFECTIOUS-DIARRHEA-CS	New policy
May 25, 2026	UnitedHealthcare	Gastrointestinal Disorders Diagnostic ProceduresPayerPolicy · UHC-COMM-MD-GASTROINTESTINAL-MOTILITY-DISORDERS-DIAGNOSIS-TREATMENT-CS	New policy
May 25, 2026	UnitedHealthcare	Gamifant (Emapalumab-Lzsg) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GAMIFANT-EMAPALUMAB-LZSG-CS	New policy
May 25, 2026	UnitedHealthcare	FDA Cleared or Approved Companion Diagnostic TestingPayerPolicy · UHC-COMM-MD-FDA-COMPANION-DIAGNOSTIC-TESTING-CS	New policy