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 | UnitedHealthcare | Xolair (Omalizumab) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | White Blood Cell Colony Stimulating Factors | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Vyjuvek (Beramagene Geperpavec-Svdt) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Vyepti (Eptinezumab-Jjmr) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Visual Information Processing Evaluation and Orthoptic and Vision Therapy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Vertebral Body Tethering for Scoliosis | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Veopoz (Pozelimab-Bbfg) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Vagus and External Trigeminal Nerve Stimulation | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Upper Extremity Prosthetic Devices | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Umbilical Cord Blood Harvesting and Storage for Future Use | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Tzield (Teplizumab-Mzwv) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Treatment of Temporomandibular Joint Disorders | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Transcranial Magnetic Stimulation for Treating Physical Health Conditions | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Total Artificial Disc Replacement for the Spine | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Tocilizumab Injection for Intravenous Infusion | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Tezspire (Tezepelumab-Ekko) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Tepezza (Teprotumumab-Trbw) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Synagis (Palivizumab) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Sympathetic Blockade | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Susvimo (Ranibizumab Injection) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Surgery of the Knee | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Surgery of the Hip | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Surgery of the Wrist or Thumb | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Surgery of the Foot | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Surgery of the Elbow | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Surgery of the Ankle | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Surgery for the Prevention and Treatment of Lymphedema | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Subcutaneous Implantable Naltrexone Pellets | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Spinal Fusion and Decompression | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Spinal Fusion and Bone Healing Enhancement Products | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Spevigo (Spesolimab-Sbzo) – IV and Subcutaneous Formulations (for UHCWest Only) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Spevigo (Spesolimab-Sbzo) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Sodium Hyaluronate | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Sleep Studies | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Skyrizi (Risankizumab-Rzaa) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Sinus Surgeries and Interventions | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Sensory Integration Therapy and Auditory Integration Training | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Screening Colonoscopy Procedures – Site of Service | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Saphnelo (Anifrolumab-Fnia) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Sacroiliac Joint Interventions | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Sacral Nerve Stimulation for Urinary and Fecal Indications | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Roctavian (Valoctocogene Roxaparvovec-Rvox) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Rhinoplasty and Other Nasal Procedures | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Respiratory Pathogen Nucleic Acid Detection Testing | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Repository Corticotropin Injections | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Rebyota (Fecal Microbiota, Live-Jslm) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Radiation Therapy: Fractionation, Image-Guidance, and Special Services | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Qalsody (Tofersen) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Provider Administered Drugs – Site of Care | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Provider Administered Drugs – Preferred Products | Criteria changed |