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 | Direct-to-consumer (DTC) laboratory testing | Criteria changed |
| May 14, 2026 | HealthPartners | Dietitian consultation | Criteria changed |
| May 14, 2026 | HealthPartners | Dental services - orthognathic surgery | Criteria changed |
| May 14, 2026 | HealthPartners | Dental services - orthodontics | Criteria changed |
| May 14, 2026 | HealthPartners | Dental services - accidental dental | Criteria changed |
| May 14, 2026 | HealthPartners | Continuous passive motion (CPM) devices | Criteria changed |
| May 14, 2026 | HealthPartners | Compounded medications | Criteria changed |
| May 14, 2026 | HealthPartners | Complementary and alternative medicine | Criteria changed |
| May 14, 2026 | HealthPartners | Collagenase (Xiaflex) | Criteria changed |
| May 14, 2026 | HealthPartners | Circumcision - Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Category III CPT codes | Criteria changed |
| May 14, 2026 | HealthPartners | Casimersen (Amondys 45) – Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Cardiovascular risk assessments | Criteria changed |
| May 14, 2026 | HealthPartners | Capsaicin patch (Qutenza) – Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Canakinumab (Ilaris) | Criteria changed |
| May 14, 2026 | HealthPartners | Brexanolone (Zulresso) | Criteria changed |
| May 14, 2026 | HealthPartners | Bone anchored hearing aids (BAHA) | Criteria changed |
| May 14, 2026 | HealthPartners | Biologics for allergy and pulmonology | Criteria changed |
| May 14, 2026 | HealthPartners | Biofeedback | Criteria changed |
| May 14, 2026 | HealthPartners | Bezlotoxumab (Zinplava) | Criteria changed |
| May 14, 2026 | HealthPartners | Belatacept (Nulojix) – Minnesota Health Care Programs | Criteria changed |
| May 14, 2026 | HealthPartners | Axatilimab-csfr (Niktimvo) | Criteria changed |
| May 14, 2026 | HealthPartners | Authorized care outside the service area | Criteria changed |
| May 14, 2026 | HealthPartners | Anesthesia services for routine gastrointestinal endoscopic procedures | Criteria changed |
| May 14, 2026 | HealthPartners | Amyloid monoclonal antibodies | Criteria changed |
| 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 | Alpha-1 antitrypsin (AAT) deficiency enzyme replacement therapy: alpha-1 proteinase inhibitor (Aralast NP, Glassia, Prolastin-C, and Zemaira) | Criteria changed |
| May 14, 2026 | HealthPartners | Alemtuzumab (Lemtrada) | Criteria changed |
| May 14, 2026 | HealthPartners | Acute inpatient rehabilitation & long-term acute care hospitalization | Criteria changed |
| May 14, 2026 | Providence Health Plan | Venipuncture | Criteria changed |
| May 14, 2026 | Providence Health Plan | Urine Drug Testing | Criteria changed |
| May 14, 2026 | Providence Health Plan | Treatment Room Revenue Code Billed with Evaluation and Management Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | Robotic Surgical Systems | Criteria changed |
| May 14, 2026 | Providence Health Plan | Reasonable Billing Practices | Criteria changed |
| May 14, 2026 | Providence Health Plan | Preventive Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | Inpatient Acuity Level | Criteria changed |
| May 14, 2026 | Providence Health Plan | Incident to Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | General Facility Billing | Criteria changed |
| May 14, 2026 | Providence Health Plan | Facility Routine Supplies and Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | Associated Services and Related Claims | Criteria changed |
| May 14, 2026 | Providence Health Plan | Anesthesia Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | Ambulance Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | Site of Care Prior Authorization Request Form | Criteria changed |
| May 14, 2026 | Providence Health Plan | Approved Site of Care Facility List | Criteria changed |
| May 14, 2026 | Providence Health Plan | 2025 Outpatient Infusion Services SOC Contract list of Drug Codes | Criteria changed |
| May 14, 2026 | Providence Health Plan | Wireless Capsule Endoscopy | Criteria changed |
| May 14, 2026 | Providence Health Plan | Wilderness Therapy | Criteria changed |
| May 14, 2026 | Providence Health Plan | Whole Exome, Whole Genome, and Proteogenomic Sequencing and Genetic Testing for Mitochondrial Disorders | Criteria changed |
| May 14, 2026 | Providence Health Plan | Wheelchairs and Power Vehicles | Criteria changed |
| May 14, 2026 | Providence Health Plan | Vitamin D Assay Testing | Criteria changed |