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 |
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| May 18, 2026 | BCBS Montana | LumasiranPayerPolicy · BCBSMT-RX501.133 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Lower-Limb Prosthetics, Including Microprocessor-Controlled ProstheticsPayerPolicy · BCBSMT-DME104.012 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Lower Esophageal Magnetic Sphincter AugmentationPayerPolicy · BCBSMT-SUR709.036 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Low-Level Laser TherapyPayerPolicy · BCBSMT-MED201.045 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Long-Term Ambulatory Cardiac Monitoring (Outpatient Cardiac Telemetry, Implantable Cardiac Rhythm Event Monitors, and Intracardiac Ischemia Detection Systems)PayerPolicy · BCBSMT-MED202.003 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Long-Acting Injectable Antiretroviral Agents for Treatment of HIVPayerPolicy · BCBSMT-RX501.145 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Liver Transplant and Combined Liver-Kidney TransplantPayerPolicy · BCBSMT-SUR703.008 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Levodopa-Carbidopa Enteral Suspension (e.g., Duopa) for the Treatment of Parkinson DiseasePayerPolicy · BCBSMT-RX504.015 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Lecanemab-irmbPayerPolicy · BCBSMT-RX501.152 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Laparoscopic, Percutaneous and Transcervical Techniques for Uterine Fibroid MyolysisPayerPolicy · BCBSMT-SUR701.033 | Criteria changed |
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| May 18, 2026 | BCBS Montana | LanreotidePayerPolicy · BCBSMT-RX501.155 | Criteria changed |
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| May 18, 2026 | BCBS Montana | KidneyIntelX and KidneyIntelX.dkd TestingPayerPolicy · BCBSMT-MED207.163 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Kidney TransplantPayerPolicy · BCBSMT-SUR703.007 | Criteria changed |
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| May 18, 2026 | BCBS Montana | KeratoprosthesisPayerPolicy · BCBSMT-OTH903.030 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Islet Transplantation for Chronic Pancreatitis and Donislecel-jujn for Type 1 DiabetesPayerPolicy · BCBSMT-SUR703.057 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Irreversible Electroporation (IRE)PayerPolicy · BCBSMT-SUR701.048 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Intravitreal, Punctum, and Intracameral ImplantsPayerPolicy · BCBSMT-OTH903.024 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme DiseasePayerPolicy · BCBSMT-MED207.104 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric DisordersPayerPolicy · BCBSMT-SUR702.016 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Intraurethral Valve Drainage Device for Impaired Detrusor ContractilityPayerPolicy · BCBSMT-DME102.009 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Intraosseous Radiofrequency Nerve Ablation of the Basivertebral Nerve for the Treatment of Low Back PainPayerPolicy · BCBSMT-SUR702.020 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Intraoperative Neurophysiologic Monitoring (IONM)PayerPolicy · BCBSMT-MED205.011 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Intraocular Lens (IOLs) and Implantable Miniature Telescope (IMT)PayerPolicy · BCBSMT-SUR713.025 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Intracellular Micronutrient AnalysisPayerPolicy · BCBSMT-MED207.088 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Interspinous Fixation (Fusion) DevicesPayerPolicy · BCBSMT-SUR712.040 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Inside the U.S. Food and Drug Administration (FDA)PayerPolicy · BCBSMT-ADM1001.028 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Injectable Clostridial Collagenase for Fibroproliferative DisordersPayerPolicy · BCBSMT-RX501.073 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Injectable Bulking Agents for the Treatment of Urinary and Fecal IncontinencePayerPolicy · BCBSMT-SUR710.008 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Inhaled Nitric OxidePayerPolicy · BCBSMT-THE801.038 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Infrared Therapy DevicesPayerPolicy · BCBSMT-DME101.045 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Infliximab and Associated BiosimilarsPayerPolicy · BCBSMT-RX501.051 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Inebilizumab-cdonPayerPolicy · BCBSMT-RX501.127 | Criteria changed |
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| May 18, 2026 | BCBS Montana | InclisiranPayerPolicy · BCBSMT-RX501.142 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Implantable Peripheral Nerve Stimulation for Chronic Pain ConditionsPayerPolicy · BCBSMT-MED205.042 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Implantable Cardioverter DefibrillatorsPayerPolicy · BCBSMT-SUR707.003 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Image-Guided Minimally Invasive Decompression for Spinal StenosisPayerPolicy · BCBSMT-SUR712.035 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hospital Beds and Related EquipmentPayerPolicy · BCBSMT-DME101.001 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hormone Replacement TherapiesPayerPolicy · BCBSMT-RX501.007 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Home Cardiorespiratory MonitoringPayerPolicy · BCBSMT-DME101.020 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Waldenstrom MacroglobulinemiaPayerPolicy · BCBSMT-SUR703.050 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Solid Tumors of ChildhoodPayerPolicy · BCBSMT-SUR703.044 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Primary Systemic AmyloidosisPayerPolicy · BCBSMT-SUR703.046 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Plasma Cell Dyscrasias, Including Multiple Myeloma and POEMS SyndromePayerPolicy · BCBSMT-SUR703.030 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Non-Hodgkin LymphomasPayerPolicy · BCBSMT-SUR703.031 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Hodgkin LymphomaPayerPolicy · BCBSMT-SUR703.040 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)PayerPolicy · BCBSMT-SUR703.029 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Central Nervous System Embryonal Tumors and EpendymomaPayerPolicy · BCBSMT-SUR703.039 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Breast CancerPayerPolicy · BCBSMT-SUR703.038 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Autoimmune DiseasesPayerPolicy · BCBSMT-SUR703.036 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Heart/Lung TransplantPayerPolicy · BCBSMT-SUR703.006 | Criteria changed |
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