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 17, 2026 | BCBS Montana | Ocrelizumab or Ocrelizumab and Hyaluronidase-ocsqPayerPolicy · BCBSMT-RX501.085 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Occipital Nerve StimulationPayerPolicy · BCBSMT-SUR712.033 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Nutritional SupportPayerPolicy · BCBSMT-MED201.011 | Criteria changed |
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| May 17, 2026 | BCBS Montana | NusinersenPayerPolicy · BCBSMT-RX501.086 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Nonwearable Automatic External DefibrillatorsPayerPolicy · BCBSMT-DME101.021 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Nonpharmacologic Treatment of RosaceaPayerPolicy · BCBSMT-THE801.030 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Noncontact Ultrasound Treatment for WoundsPayerPolicy · BCBSMT-DME101.044 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Noncontact Normothermic Wound Therapy (NNWT)PayerPolicy · BCBSMT-DME101.050 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Non-Invasive Measurement of Central Blood Pressure (cBP)PayerPolicy · BCBSMT-MED202.070 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Neuralgia Inducing Cavitational Osteonecrosis (NICO)PayerPolicy · BCBSMT-SUR705.028 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Nerve Graft with Radical ProstatectomyPayerPolicy · BCBSMT-SUR710.019 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Negative Pressure Wound Therapy in the Outpatient SettingPayerPolicy · BCBSMT-DME101.036 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Natalizumab and Associated Biosimilar(s)PayerPolicy · BCBSMT-RX501.059 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Myoelectric Prosthetic and Orthotic Components for the Upper LimbPayerPolicy · BCBSMT-DME104.001 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Myocardial Sympathetic Innervation Imaging in Individuals With Heart FailurePayerPolicy · BCBSMT-RAD604.012 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Myocardial Strain ImagingPayerPolicy · BCBSMT-RAD601.069 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Mirikizumab-mrkzPayerPolicy · BCBSMT-RX501.168 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Minimally Invasive Fixation/Fusion of the Sacroiliac JointPayerPolicy · BCBSMT-SUR705.033 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the SpinePayerPolicy · BCBSMT-RAD601.041 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Microwave Tumor AblationPayerPolicy · BCBSMT-SUR701.038 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Microvolt T-Wave Alternans (MTWA)PayerPolicy · BCBSMT-MED202.006 | Criteria changed |
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| May 17, 2026 | BCBS Montana | MepolizumabPayerPolicy · BCBSMT-RX501.080 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Meniscal Allografts and Other Meniscal ImplantsPayerPolicy · BCBSMT-SUR705.034 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Medical Policies Moving to MCG GuidelinesPayerPolicy · BCBSMT-ADM1001.036 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Medical Management of Sleep Related Breathing DisordersPayerPolicy · BCBSMT-MED204.006 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Measurement of Serum Antibodies to Selected Biologic AgentsPayerPolicy · BCBSMT-MED207.153 | Criteria changed |
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| May 17, 2026 | BCBS Montana | MastopexyPayerPolicy · BCBSMT-SUR716.010 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Manipulation Under AnesthesiaPayerPolicy · BCBSMT-THE803.016 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Management of Hereditary Angioedema (HAE) with C1 Esterase Inhibitor, Human and EcallantidePayerPolicy · BCBSMT-RX504.013 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Magnetic Resonance-Guided Focused UltrasoundPayerPolicy · BCBSMT-SUR701.022 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Lysis of Epidural AdhesionsPayerPolicy · BCBSMT-SUR712.024 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Lung and Lobar Lung TransplantPayerPolicy · BCBSMT-SUR703.010 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Lumbar Spinal FusionPayerPolicy · BCBSMT-SUR712.036 | Criteria changed |
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| May 17, 2026 | BCBS Montana | LumasiranPayerPolicy · BCBSMT-RX501.133 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Lower-Limb Prosthetics, Including Microprocessor-Controlled ProstheticsPayerPolicy · BCBSMT-DME104.012 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Lower Esophageal Magnetic Sphincter AugmentationPayerPolicy · BCBSMT-SUR709.036 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Low-Level Laser TherapyPayerPolicy · BCBSMT-MED201.045 | Criteria changed |
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| May 17, 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 17, 2026 | BCBS Montana | Long-Acting Injectable Antiretroviral Agents for Treatment of HIVPayerPolicy · BCBSMT-RX501.145 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Liver Transplant and Combined Liver-Kidney TransplantPayerPolicy · BCBSMT-SUR703.008 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Liposuction for Lipedema and LymphedemaPayerPolicy · BCBSMT-SUR708.003 | Criteria changed |
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| May 17, 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 17, 2026 | BCBS Montana | Lecanemab-irmbPayerPolicy · BCBSMT-RX501.152 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Leadless Cardiac PacemakersPayerPolicy · BCBSMT-SUR707.030 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Laser Interstitial Tumor Therapy (LITT)PayerPolicy · BCBSMT-SUR701.031 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Laparoscopic, Percutaneous and Transcervical Techniques for Uterine Fibroid MyolysisPayerPolicy · BCBSMT-SUR701.033 | Criteria changed |
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| May 17, 2026 | BCBS Montana | LanreotidePayerPolicy · BCBSMT-RX501.155 | Criteria changed |
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| May 17, 2026 | BCBS Montana | KidneyIntelX and KidneyIntelX.dkd TestingPayerPolicy · BCBSMT-MED207.163 | Criteria changed |
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| May 17, 2026 | BCBS Montana | Kidney TransplantPayerPolicy · BCBSMT-SUR703.007 | Criteria changed |
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| May 17, 2026 | BCBS Montana | KeratoprosthesisPayerPolicy · BCBSMT-OTH903.030 | Criteria changed |
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