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 14, 2026 | Moda Health | Cranial Orthotics | Criteria changed |
| May 14, 2026 | Moda Health | Cooling Devices | Criteria changed |
| May 14, 2026 | Moda Health | Coordinated Specialty Programs | Criteria changed |
| May 14, 2026 | Moda Health | Computer Assisted Navigation for Musculoskeletal Procedures | Criteria changed |
| May 14, 2026 | Moda Health | Cochlear Implants and Auditory Brainstem Implants | Criteria changed |
| May 14, 2026 | Moda Health | Clinical Trials | Criteria changed |
| May 14, 2026 | Moda Health | Chiropractic Services | Criteria changed |
| May 14, 2026 | Moda Health | Casgevy (exagamglogene autotemcel) | Criteria changed |
| May 14, 2026 | Moda Health | Cardiac Disease Screening-Lipid Profile | Criteria changed |
| May 14, 2026 | Moda Health | Cardiac Defibrillators, external | Criteria changed |
| May 14, 2026 | Moda Health | Breast Reconstruction | Criteria changed |
| May 14, 2026 | Moda Health | Breast Pumps | Criteria changed |
| May 14, 2026 | Moda Health | Breast Implant Removal | Criteria changed |
| May 14, 2026 | Moda Health | Bone Growth Stimulators Electric | Criteria changed |
| May 14, 2026 | Moda Health | Blepharoplasty and Brow Ptosis Repair | Criteria changed |
| May 14, 2026 | Moda Health | Intravitreal-Avastin | Criteria changed |
| May 14, 2026 | Moda Health | Balloon Dilation of Eustachian Tube | Criteria changed |
| May 14, 2026 | Moda Health | Applied Behavior Analysis | Criteria changed |
| May 14, 2026 | Moda Health | Alpha 1 Antitrypsin Deficiency Testing | Criteria changed |
| May 14, 2026 | Moda Health | Allergy Testing – Blood | Criteria changed |
| May 14, 2026 | Moda Health | Air Ambulance Transport | Criteria changed |
| May 14, 2026 | Moda Health | Abdominoplasty – Panniculectomy | Criteria changed |
| May 14, 2026 | Univera Healthcare | Wheelchairs and Power Operated Vehicles (POVs) | Criteria changed |
| May 14, 2026 | Univera Healthcare | Ventricular Assist Device (VAD) and Total Artificial Heart (TAH) | Criteria changed |
| May 14, 2026 | Univera Healthcare | Varicose Vein Treatments | Criteria changed |
| May 14, 2026 | Univera Healthcare | Treatment of Gambling Disorder and Other Repetitive Behaviors | Criteria changed |
| May 14, 2026 | Univera Healthcare | Transcranial Magnetic Stimulation and Cranial Electrotherapy Stimulation | Criteria changed |
| May 14, 2026 | Univera Healthcare | Total Parenteral Nutrition (TPN) or Hyperalimentation | Criteria changed |
| May 14, 2026 | Univera Healthcare | Tibial Nerve Stimulation (TNS) for Voiding Dysfunction | Criteria changed |
| May 14, 2026 | Univera Healthcare | Thermal Ablation for Solid Tumor Treatment | Criteria changed |
| May 14, 2026 | Univera Healthcare | Testing for the Use of Biologic Therapeutics for the Treatment of Inflammatory Disorders | Criteria changed |
| May 14, 2026 | Univera Healthcare | Temporomandibular Joint Disorders (TMJD) (Effective 2026-05-15) | Criteria changed |
| May 14, 2026 | Univera Healthcare | Surgical Management of Sleep Disorders | Criteria changed |
| May 14, 2026 | Univera Healthcare | Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy | Criteria changed |
| May 14, 2026 | Univera Healthcare | Standing Devices and Gait Trainers | Criteria changed |
| May 14, 2026 | Univera Healthcare | Spinal Cord Stimulation / Dorsal Column Stimulation | Criteria changed |
| May 14, 2026 | Univera Healthcare | Specialty Enclosure Bed Systems (Effective 2026-05-15) | Criteria changed |
| May 14, 2026 | Univera Healthcare | Small Bowel and Multivisceral Transplants in Adults and Children | Criteria changed |
| May 14, 2026 | Univera Healthcare | Sleep Studies | Criteria changed |
| May 14, 2026 | Univera Healthcare | Skilled Nursing Facility Care / Level of Care Criteria | Criteria changed |
| May 14, 2026 | Univera Healthcare | Sinus Excision/Destruction, Implants, and Repair | Criteria changed |
| May 14, 2026 | Univera Healthcare | Shoulder Arthroplasty (Total, Partial, Reverse, Revision and Resurfacing) | Criteria changed |
| May 14, 2026 | Univera Healthcare | Sacroiliac Joint Fusion or Stabilization | Criteria changed |
| May 14, 2026 | Univera Healthcare | Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Criteria changed |
| May 14, 2026 | Univera Healthcare | Reduction Mammaplasty (Mammoplasty) | Criteria changed |
| May 14, 2026 | Univera Healthcare | Radiopharmaceuticals for the Treatment of Cancer | Criteria changed |
| May 14, 2026 | Univera Healthcare | Psychological Testing | Criteria changed |
| May 14, 2026 | Univera Healthcare | Proton Beam Radiation Therapy | Criteria changed |
| May 14, 2026 | Univera Healthcare | Prenatal Genetic Testing | Criteria changed |
| May 14, 2026 | Univera Healthcare | Predictive Testing for Pancreatic Cancer | Criteria changed |