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 | HealthPartners | Alpha-1 antitrypsin (AAT) deficiency enzyme replacement therapy: alpha-1 proteinase inhibitor (Aralast NP, Glassia, Prolastin-C, and Zemaira) - Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Allogeneic processed thymus tissue–agdc (Rethymic) | Criteria changed |
| May 14, 2026 | HealthPartners | Allergy testing/immunotherapy | Criteria changed |
| May 14, 2026 | HealthPartners | Alemtuzumab (Lemtrada) – Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Airway clearance system/ high frequency chest wall compression system – Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Airway clearance system / high frequency chest wall compression system | Criteria changed |
| May 14, 2026 | HealthPartners | Afamitresgene autoleucel (Tecelra) | Criteria changed |
| May 14, 2026 | HealthPartners | Afamelanotide (Scenesse) | Criteria changed |
| May 14, 2026 | HealthPartners | Advanced drug therapy for pulmonary hypertension: Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Advanced drug therapy for pulmonary hypertension | Criteria changed |
| May 14, 2026 | HealthPartners | Aducanumab (Aduhelm) and lecanemab (Leqembi and Leqembi Iqlik) – Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Acupuncture | Criteria changed |
| May 14, 2026 | Providence Health Plan | Scope of License, Scope of Practice, and Provider Qualification | Criteria changed |
| May 14, 2026 | Providence Health Plan | Preventive Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | Preventable Adverse Events | Criteria changed |
| May 14, 2026 | Providence Health Plan | Plan-Directed Care | Criteria changed |
| May 14, 2026 | Providence Health Plan | Outpatient Hospital Services Rendered Prior to an Inpatient Admission | Criteria changed |
| May 14, 2026 | Providence Health Plan | Observation Status | Criteria changed |
| May 14, 2026 | Providence Health Plan | Medicare Reimbursement for HCPCS G2211 | Criteria changed |
| May 14, 2026 | Providence Health Plan | Inpatient Hospital Readmissions | Criteria changed |
| May 14, 2026 | Providence Health Plan | Inpatient Hospital Admission and Length of Stay Reviews | Criteria changed |
| May 14, 2026 | Providence Health Plan | High Dollar Drug Reviews | Criteria changed |
| May 14, 2026 | Providence Health Plan | High Dollar Charge Validation | Criteria changed |
| May 14, 2026 | Providence Health Plan | Emergency Department Evaluation & Management Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | Durable Medical Equipment (DME) Rental vs. Purchase | Criteria changed |
| May 14, 2026 | Providence Health Plan | Diagnosis Related Group Validation | Criteria changed |
| May 14, 2026 | Providence Health Plan | Critical Care Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | Birthing Center Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | White Bagging FAQ_Oregon House Bill 4012 | Criteria changed |
| May 14, 2026 | Providence Health Plan | Wireless Capsule Endoscopy | Criteria changed |
| May 14, 2026 | Providence Health Plan | Wheelchairs and Power Vehicles | Criteria changed |
| May 14, 2026 | Providence Health Plan | Walkers | Criteria changed |
| May 14, 2026 | Providence Health Plan | Vitamin D Assay Testing | Criteria changed |
| May 14, 2026 | Providence Health Plan | Varicose Veins | Criteria changed |
| May 14, 2026 | Providence Health Plan | Varicose Veins | Criteria changed |
| May 14, 2026 | Providence Health Plan | Vagus Nerve Stimulation | Criteria changed |
| May 14, 2026 | Providence Health Plan | Urinary Dysfunction Treatments | Criteria changed |
| May 14, 2026 | Providence Health Plan | Tumor Treatment Field Therapy for Glioblastoma | Criteria changed |
| May 14, 2026 | Providence Health Plan | Tumor Antigen Assays | Criteria changed |
| May 14, 2026 | Providence Health Plan | Transcutaneous Electrical Nerve Stimulators (TENS) and Related Supplies | Criteria changed |
| May 14, 2026 | Providence Health Plan | Transcranial Magnetic Stimulation | Criteria changed |
| May 14, 2026 | Providence Health Plan | Transcatheter Tricuspid Valve Replacement (TTVR) | Criteria changed |
| May 14, 2026 | Providence Health Plan | Transcatheter Aortic Valve Replacement (TAVR) | Criteria changed |
| May 14, 2026 | Providence Health Plan | Total Knee Arthroplasty | Criteria changed |
| May 14, 2026 | Providence Health Plan | Total Knee Arthroplasty | Criteria changed |
| May 14, 2026 | Providence Health Plan | Thyroid Testing | Criteria changed |
| May 14, 2026 | Providence Health Plan | Thyroid Testing | Criteria changed |
| May 14, 2026 | Providence Health Plan | Surgical Treatments for Lymphedema | Criteria changed |
| May 14, 2026 | Providence Health Plan | Surgical Treatment for Skin Redundancy | Criteria changed |
| May 14, 2026 | Providence Health Plan | Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery | Criteria changed |