| May 17, 2026 | BCBS Oklahoma | Manipulation Under AnesthesiaPayerPolicy · BCBSOK-THE803.016 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Sleep Disorder ManagementClinical Guideline · CARELON-sleep-disorder-management-2024-10-20-updated-2025-07-01-for-anthem-bcbs-ohio-medicaid-and-regence-only-deferred-to-2025-12-01 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Management of Hereditary Angioedema (HAE) with C1 Esterase Inhibitor, Human and EcallantidePayerPolicy · BCBSOK-RX504.013 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Magnetic Resonance-Guided Focused UltrasoundPayerPolicy · BCBSOK-SUR701.022 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Lysis of Epidural AdhesionsPayerPolicy · BCBSOK-SUR712.024 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Vascular ImagingClinical Guideline · CARELON-vascular-imaging-2024-10-20 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Lung and Lobar Lung TransplantPayerPolicy · BCBSOK-SUR703.010 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Lumbar Spinal FusionPayerPolicy · BCBSOK-SUR712.036 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | LumasiranPayerPolicy · BCBSOK-RX501.133 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Vascular Embolization and Occlusion ProceduresClinical Guideline · CARELON-VASCULAR-EMBOLIZATION-OCCLUSION | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Lower-Limb Prosthetics, Including Microprocessor-Controlled ProstheticsPayerPolicy · BCBSOK-DME104.012 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Lower Esophageal Magnetic Sphincter AugmentationPayerPolicy · BCBSOK-SUR709.036 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Treatment of Varicose Veins and Superficial Venous InsufficiencyClinical Guideline · CARELON-TREATMENT-OF-VARICOSE-VEINS-AND-SUPERFICIAL-VENOUS-INSUFFICIENCY | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Low-Level Laser TherapyPayerPolicy · BCBSOK-MED201.045 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Transcatheter Ablation for Management of Supraventricular and Ventricular Arrhythmias [for Wellpoint Massachusetts]Clinical Guideline · CARELON-TRANSCATHETER-ABLATION-FOR-SUPRAVENTRICULAR-AND-VENTRICULAR-ARRHYTHMIAS | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Long-Term Ambulatory Cardiac Monitoring (Outpatient Cardiac Telemetry, Implantable Cardiac Rhythm Event Monitors, and Intracardiac Ischemia Detection Systems)PayerPolicy · BCBSOK-MED202.003 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Long-Acting Injectable Antiretroviral Agents for Treatment of HIVPayerPolicy · BCBSOK-RX501.145 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Transcatheter Ablation for Management of Atrial Fibrillation [for Wellpoint Massachusetts]Clinical Guideline · CARELON-TRANSCATHETER-ABLATION-FOR-MANAGEMENT-OF-ATRIAL-FIBRILLATION | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Liver Transplant and Combined Liver-Kidney TransplantPayerPolicy · BCBSOK-SUR703.008 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Permanent Implantable Pacemakers [for Wellpoint Massachusetts]Clinical Guideline · CARELON-PERMANENT-IMPLANTABLE-PACEMAKERS | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Liposuction for Lipedema and LymphedemaPayerPolicy · BCBSOK-SUR708.003 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Levodopa-Carbidopa Enteral Suspension (e.g., Duopa) for the Treatment of Parkinson DiseasePayerPolicy · BCBSOK-RX504.015 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Lecanemab-irmbPayerPolicy · BCBSOK-RX501.152 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Percutaneous Coronary Intervention [for Wellpoint Massachusetts]Clinical Guideline · CARELON-PERCUTANEOUS-CORONARY-INTERVENTION-SUPERSEDED | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Leadless Cardiac PacemakersPayerPolicy · BCBSOK-SUR707.030 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Laser Interstitial Tumor Therapy (LITT)PayerPolicy · BCBSOK-SUR701.031 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Laparoscopic, Percutaneous and Transcervical Techniques for Uterine Fibroid MyolysisPayerPolicy · BCBSOK-SUR701.033 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Implantable Cardioverter DefibrillatorsClinical Guideline · CARELON-implantable-cardioverter-defibrillators-2024-11-17-updated-2026-01-01 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | LanreotidePayerPolicy · BCBSOK-RX501.155 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | KidneyIntelX and KidneyIntelX.dkd TestingPayerPolicy · BCBSOK-MED207.163 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Kidney TransplantPayerPolicy · BCBSOK-SUR703.007 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Endovascular RevascularizationClinical Guideline · CARELON-ENDOVASCULAR-REVASCULARIZATION | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | KeratoprosthesisPayerPolicy · BCBSOK-OTH903.030 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Isolated Small Bowel TransplantPayerPolicy · BCBSOK-SUR703.014 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Electrophysiological StudiesClinical Guideline · CARELON-ELECTROPHYSIOLOGICAL-STUDIES | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Islet Transplantation for Chronic Pancreatitis and Donislecel-jujn for Type 1 DiabetesPayerPolicy · BCBSOK-SUR703.057 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Dialysis Access EvaluationsClinical Guideline · CARELON-DIALYSIS-ACCESS-EVALUATIONS | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Irreversible Electroporation (IRE)PayerPolicy · BCBSOK-SUR701.048 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Intravitreal, Punctum, and Intracameral ImplantsPayerPolicy · BCBSOK-OTH903.024 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Diagnostic Coronary Angiography [for Wellpoint Massachusetts]Clinical Guideline · CARELON-DIAGNOSTIC-CORONARY-ANGIOGRAPHY-SUPERSEDED | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme DiseasePayerPolicy · BCBSOK-MED207.104 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric DisordersPayerPolicy · BCBSOK-SUR702.016 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Intraurethral Valve Drainage Device for Impaired Detrusor ContractilityPayerPolicy · BCBSOK-DME102.009 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Intraosseous Radiofrequency Nerve Ablation of the Basivertebral Nerve for the Treatment of Low Back PainPayerPolicy · BCBSOK-SUR702.020 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Catheter-Based Closure of Patent Foramen OvaleClinical Guideline · CARELON-CATHETER-BASED-CLOSURE-OF-PATENT-FORAMEN-OVALE | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Intraoperative Neurophysiologic Monitoring (IONM)PayerPolicy · BCBSOK-MED205.011 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Intraocular Lens (IOLs) and Implantable Miniature Telescope (IMT)PayerPolicy · BCBSOK-SUR713.025 | Criteria changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Cardiac Resynchronization Therapy [for WellPoint Massachusetts]Clinical Guideline · CARELON-CARDIAC-RESYNCHRONIZATION-THERAPY | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Intracellular Micronutrient AnalysisPayerPolicy · BCBSOK-MED207.088 | Criteria changed |
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| May 17, 2026 | BCBS Oklahoma | Interventions for Progressive ScoliosisPayerPolicy · BCBSOK-SUR705.046 | Criteria changed |
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