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.
86,510 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| May 18, 2026 | BCBS Illinois | Adoptive Immunotherapy | Criteria changed |
| May 18, 2026 | BCBS Illinois | Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses | Criteria changed |
| May 18, 2026 | BCBS Illinois | Actigraphy | Criteria changed |
| May 18, 2026 | BCBS Illinois | Ablation of Peripheral Nerves to Treat Pain | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions) – Surest Medical Policy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Treatment of Temporomandibular Joint Disorders – Surest Medical Policy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Surgery of the Shoulder – Surest Medical Policy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Surgery of the Hip – Surest Medical Policy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Rhinoplasty and Other Nasal Procedures – Surest Medical Policy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Implantable Loop Recorders and Wearable Heart Rhythm Monitors – Surest Medical Policy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Electromagnetic Therapy for Wounds – Surest Medical Policy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Deep Brain and Cortical Stimulation – Surest Medical Policy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Bariatric Surgery – Surest Medical Policy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Vitamin D Testing Policy, Professional and Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Itvisma (Onasemnogene Abeparvovec-Brve) | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Professional/Technical Component, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Once in a Lifetime Procedures, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | National Drug Code (NDC) Requirement Professional and Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing Policy, Professional and Facility - UnitedHealthcare Medicare Advantage Reimbursement Policy | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Increased Procedural Services Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Incident To Services, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | From – To Date Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Durable Medical Equipment, Orthotics and Prosthetics Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Drug Testing Policy | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Diagnostic Testing for Inflammatory Bowel Disease Policy, Professional and Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Diagnosis Code Requirement Policy, Professional and Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Co-Surgeon/Team Surgeon Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Clinical Laboratory Improvement Amendments (CLIA) ID Requirement | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Anesthesia Services Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Anatomical Modifier Requirement Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Varicose Veins Treatment and Other Vein Embolization Procedures | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Urogenital/Anogenital (UG/AG) Panels | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Urinary and Fecal Incontinence: Diagnosis and Treatment | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Treatment of Temporomandibular Joint (TMJ) | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Spinal Cord Stimulators for Chronic Pain | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Skin Substitutes Grafts/Cellular and Tissue-Based Products (Injections and/or Applications) | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Skilled Nursing Facility, Rehabilitation, Long-Term Acute Care Hospital, and Private Duty Nursing | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Radiologic Diagnostic Procedures | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Prostate Services and Procedures and Impotence Treatment | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Positron Emission Tomography Scan for Myocardial Imaging | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Pharmacogenomics Testing | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Pain Management | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Osteopathic Manipulations (OMT) | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Molecular Pathology/Molecular Diagnostics/Genetic Testing | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Medications/Drugs (Outpatient/Part B) | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Medicare Part B Step Therapy Programs – Medicare Advantage Drug Policy | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Hospital, Emergency, and Ambulance Services | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Hearing Aids and Auditory Implants | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Gastroesophageal and Gastrointestinal (GI) Services and Procedures | Criteria changed |
| May 18, 2026 | UnitedHealthcare Medicare Advantage | Electrical Stimulators | Criteria changed |