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 | Moda Health | Experimental and investigational services | Criteria changed |
| May 18, 2026 | Moda Health | Endoscopic Procedures for the Treatment of GERD | Criteria changed |
| May 18, 2026 | Moda Health | Electrical Stimulation Devices | Criteria changed |
| May 18, 2026 | Moda Health | Eating Disorders | Criteria changed |
| May 18, 2026 | Moda Health | DME General Policy | Criteria changed |
| May 18, 2026 | Moda Health | Disease Management for Pain (Pain Schools) | Criteria changed |
| May 18, 2026 | Moda Health | Cryoablation of Breast Fibroadenomas | Criteria changed |
| May 18, 2026 | Moda Health | Cranial Orthotics | Criteria changed |
| May 18, 2026 | Moda Health | Cooling Devices | Criteria changed |
| May 18, 2026 | Moda Health | Continuous Glucose Monitoring | Criteria changed |
| May 18, 2026 | Moda Health | Custom compression garments | Criteria changed |
| May 18, 2026 | Moda Health | Coordinated Specialty Programs | Criteria changed |
| May 18, 2026 | Moda Health | Computer Assisted Navigation for Musculoskeletal Procedures | Criteria changed |
| May 18, 2026 | Moda Health | Cochlear Implants and Auditory Brainstem Implants | Criteria changed |
| May 18, 2026 | Moda Health | Clinical Trials | Criteria changed |
| May 18, 2026 | Moda Health | Chiropractic Services | Criteria changed |
| May 18, 2026 | Moda Health | Casgevy (exagamglogene autotemcel) | Criteria changed |
| May 18, 2026 | Moda Health | Cardiac Disease Screening-Lipid Profile | Criteria changed |
| May 18, 2026 | Moda Health | Cardiac Defibrillators, external | Criteria changed |
| May 18, 2026 | Moda Health | Breast Reconstruction | Criteria changed |
| May 18, 2026 | Moda Health | Breast Pumps | Criteria changed |
| May 18, 2026 | Moda Health | Breast Implant Removal | Criteria changed |
| May 18, 2026 | Moda Health | BRACAnalysis CDx (Myriad) | Criteria changed |
| May 18, 2026 | Moda Health | Bone Growth Stimulators Electric | Criteria changed |
| May 18, 2026 | Moda Health | Blepharoplasty and Brow Ptosis Repair | Criteria changed |
| May 18, 2026 | Moda Health | Intravitreal-Avastin | Criteria changed |
| May 18, 2026 | Moda Health | Balloon Dilation of Eustachian Tube | Criteria changed |
| May 18, 2026 | Moda Health | Applied Behavior Analysis | Criteria changed |
| May 18, 2026 | Moda Health | Ankle-Foot Orthoses(AFOs)/Knee-Ankle-Foot Orthoses(KAFOs)/Hip-Knee-Ankle-Foot Orthoses(HKAFOs) | Criteria changed |
| May 18, 2026 | Moda Health | Alpha 1 Antitrypsin Deficiency Testing | Criteria changed |
| May 18, 2026 | Moda Health | Allergy Testing – Blood | Criteria changed |
| May 18, 2026 | Moda Health | Air Ambulance Transport | Criteria changed |
| May 18, 2026 | Moda Health | Acupuncture | Criteria changed |
| May 18, 2026 | Moda Health | Abdominoplasty – Panniculectomy | Criteria changed |
| May 17, 2026 | CMS / Medicare | Transcatheter Edge-to-Edge Repair (TEER) for Mitral Valve Regurgitation | Metadata changed |
| May 17, 2026 | CMS / Medicare | Chimeric Antigen Receptor (CAR) T-cell Therapy | Metadata changed |
| May 17, 2026 | CMS / Medicare | Implantable Cardioverter Defibrillators (ICDs) | Metadata changed |
| May 17, 2026 | CMS / Medicare | Wheelchair Seating - Policy Article | Metadata changed |
| May 17, 2026 | CMS / Medicare | MolDX: Biomarkers in Cardiovascular Risk Assessment | Metadata changed |
| May 17, 2026 | CMS / Medicare | Wireless Capsule Endoscopy | Metadata changed |
| May 17, 2026 | CMS / Medicare | Frequency of Hemodialysis | Metadata changed |
| May 17, 2026 | CMS / Medicare | Response to Comments: Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis | Metadata changed |
| May 17, 2026 | CMS / Medicare | Partial Ventriculectomy | Metadata changed |
| May 17, 2026 | CMS / Medicare | Sacroiliac Joint Injections and Procedures | Metadata changed |
| May 17, 2026 | CMS / Medicare | Next Generation Sequencing (NGS) | Metadata changed |
| May 17, 2026 | CMS / Medicare | Diagnostic Endocardial Electrical Stimulation (Pacing) | Metadata changed |
| May 17, 2026 | CMS / Medicare | MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis | Metadata changed |
| May 17, 2026 | CMS / Medicare | Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF) | Metadata changed |
| May 17, 2026 | CMS / Medicare | Botulinum Toxin Injections | Metadata changed |
| May 17, 2026 | CMS / Medicare | Response to Comments: Select Minimally Invasive GERD Procedures | Metadata changed |