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 14, 2026 | Humana | Gene Therapy Treatments for Beta Thalassemia - MEDICAID - SOUTH CAROLINAPayerPolicy · HUMANA-GENE-THERAPY-TREATMENTS-FOR-BETA-THALASSEMIA-SC-MEDICAID | Retired |
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| May 14, 2026 | Humana | Varicose Vein Treatments - MEDICAID - SOUTH CAROLINAPayerPolicy · HUMANA-VARICOSE-VEIN-TREATMENTS-SC-MEDICAID | Retired |
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| May 14, 2026 | Humana | Cosmetic and Reconstructive Surgery - MEDICAID - SOUTH CAROLINAPayerPolicy · HUMANA-COSMETIC-AND-RECONSTRUCTIVE-SURGERY-SC-MEDICAID | Retired |
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| May 14, 2026 | Humana | Continuous Passive Motion and Mechanical Stretching Devices - MEDICAID - OKLAHOMAPayerPolicy · HUMANA-CONTINUOUS-PASSIVE-MOTION-AND-MECHANICAL-STRETCHING-DEVICES-OK-MEDICAID | Retired |
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| May 14, 2026 | Humana | Inhaled Nitric OxidePayerPolicy · HUMANA-INHALED-NITRIC-OXIDE-KY-MEDICAID | Retired |
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| May 14, 2026 | Humana | Auryxia (ferric citrate)PayerPolicy · HUMANA-AURYXIA-FERRIC-CITRATE | Metadata changed |
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| May 14, 2026 | Humana | Pediatric Day Health Care (PDHC)PayerPolicy · HUMANA-PEDIATRIC-DAY-HEALTH-CARE-PDHC-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Intrathecal Baclofen TherapyPayerPolicy · HUMANA-INTRATHECAL-BACLOFEN-THERAPY-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | High Frequency Chest Wall Oscillation DevicesPayerPolicy · HUMANA-HIGH-FREQUENCY-CHEST-WALL-OSCILLATION-DEVICES-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Hearing AidsPayerPolicy · HUMANA-HEARING-AIDS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Crisis Stabilization for Children and AdolescentsPayerPolicy · HUMANA-CRISIS-STABILIZATION-FOR-CHILDREN-AND-ADOLESCENTS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Continuous Subcutaneous Insulin External Infusion PumpPayerPolicy · HUMANA-CONTINUOUS-SUBCUTANEOUS-INSULIN-EXTERNAL-INFUSION-PUMP-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Community Psychiatric Support and Treatment (CPST) and Psychosocial Rehabilitation (PSR)PayerPolicy · HUMANA-COMMUNITY-PSYCHIATRIC-SUPPORT-AND-TREATMENT-CPST-AND-PSYCHOSOCIAL-REHABILITATION-PSR-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Cochlear ImplantPayerPolicy · HUMANA-COCHLEAR-IMPLANT-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Breast SurgeryPayerPolicy · HUMANA-BREAST-SURGERY-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Abortion, Hysterectomy and SterilizationPayerPolicy · HUMANA-ABORTION-HYSTERECTOMY-AND-STERILIZATION-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Assertive Community Treatment (ACT/FACT)PayerPolicy · HUMANA-ASSERTIVE-COMMUNITY-TREATMENT-ACTFACT-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Crisis Stabilization for AdultsPayerPolicy · HUMANA-CRISIS-STABILIZATION-FOR-ADULTS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Multi-Systemic Therapy (MST)PayerPolicy · HUMANA-MULTI-SYSTEMIC-THERAPY-MST-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Functional Family TherapyPayerPolicy · HUMANA-FUNCTIONAL-FAMILY-THERAPY-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Air Ambulance Transportation (AAT)PayerPolicy · HUMANA-AIR-AMBULANCE-TRANSPORTATION-AAT-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Rapid Whole Genome Sequencing (rWGS) of Critically Ill InfantsPayerPolicy · HUMANA-RAPID-WHOLE-GENOME-SEQUENCING-RWGS-OF-CRITICALLY-ILL-INFANTS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Personal Care Services (PCS) for Adults with Serious Mental Illness (SMI)PayerPolicy · HUMANA-PERSONAL-CARE-SERVICES-PCS-FOR-ADULTS-WITH-SERIOUS-MENTAL-ILLNESS-SMI-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Community Brief Crisis Support (CBCS)PayerPolicy · HUMANA-COMMUNITY-BRIEF-CRISIS-SUPPORT-CBCS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Therapeutic Group HomePayerPolicy · HUMANA-THERAPEUTIC-GROUP-HOME-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Wound CarePayerPolicy · HUMANA-WOUND-CARE-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Osteogenic Bone Growth StimulatorsPayerPolicy · HUMANA-OSTEOGENIC-BONE-GROWTH-STIMULATORS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Genetic Testing for Breast and Ovarian Cancer FAP and Lynch SyndromePayerPolicy · HUMANA-GENETIC-TESTING-FOR-BREAST-AND-OVARIAN-CANCER-FAP-AND-LYNCH-SYNDROME-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Early Periodic Screening Diagnostic Treatment (EPSDT) Personal Care Services (PCS)PayerPolicy · HUMANA-EARLY-PERIODIC-SCREENING-DIAGNOSTIC-TREATMENT-EPSDT-PERSONAL-CARE-SERVICES-PCS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Bariatric SurgeryPayerPolicy · HUMANA-BARIATRIC-SURGERY-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Outpatient Lactation Support Provider- In Lieu of Services (ILOS)PayerPolicy · HUMANA-OUTPATIENT-LACTATION-SUPPORT-PROVIDER-IN-LIEU-OF-SERVICES-ILOS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Skin and Tissue SubstitutesPayerPolicy · HUMANA-SKIN-AND-TISSUE-SUBSTITUTES-SC-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Tongue Neurostimulation for Obstructive Sleep ApneaPayerPolicy · HUMANA-TONGUE-NEUROSTIMULATION-FOR-OBSTRUCTIVE-SLEEP-APNEA-SC-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Kebilidi (eladocagene exuparvovec-tneq)PayerPolicy · HUMANA-KEBILIDI-ELADOCAGENE-EXUPARVOVEC-TNEQ-SC-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Transcranial Magnetic Stimulation (TMS)PayerPolicy · HUMANA-TRANSCRANIAL-MAGNETIC-STIMULATION-TMS-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Skin and Tissue SubstitutesPayerPolicy · HUMANA-SKIN-AND-TISSUE-SUBSTITUTES-FL-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Mobility Assistive Devices (Wheelchairs)PayerPolicy · HUMANA-MOBILITY-ASSISTIVE-DEVICES-WHEELCHAIRS-KY-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Injections for Chronic Pain ConditionsPayerPolicy · HUMANA-INJECTIONS-FOR-CHRONIC-PAIN-CONDITIONS-KY-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Inhaled Nitric OxidePayerPolicy · HUMANA-INHALED-NITRIC-OXIDE-KY-MEDICAID-EFF-20250326 | New policy |
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| May 14, 2026 | Humana | Cosmetic and Reconstructive SurgeryPayerPolicy · HUMANA-COSMETIC-AND-RECONSTRUCTIVE-SURGERY-KY-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Breast ReconstructionPayerPolicy · HUMANA-BREAST-RECONSTRUCTION-KY-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Spine SurgeryPayerPolicy · HUMANA-SPINE-SURGERY-SC-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Wheelchair, Wheelchair Repairs, Standing Frame, and Patient LiftPayerPolicy · HUMANA-WHEELCHAIR-WHEELCHAIR-REPAIRS-STANDING-FRAME-AND-PATIENT-LIFT-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Inhaled Nitric OxidePayerPolicy · HUMANA-INHALED-NITRIC-OXIDE-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Homebuilders Clinical Coverage PolicyPayerPolicy · HUMANA-HOMEBUILDERS-CLINICAL-COVERAGE-POLICY-LA-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Molecular Biomarker Testing for Noncancer IndicationsPayerPolicy · HUMANA-MOLECULAR-BIOMARKER-TESTING-FOR-NONCANCER-INDICATIONS-SC-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Medical Supplies, Equipment and Appliances Durable Medical EquipmentPayerPolicy · HUMANA-MEDICAL-SUPPLIES-EQUIPMENT-AND-APPLIANCES-DURABLE-MEDICAL-EQUIPMENT-SC-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Lenmeldy (atidarsagene autotemcel)PayerPolicy · HUMANA-LENMELDY-ATIDARSAGENE-AUTOTEMCEL-SC-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Lantidra (donislecel)PayerPolicy · HUMANA-LANTIDRA-DONISLECEL-SC-MEDICAID | Metadata changed |
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| May 14, 2026 | Humana | Transesophageal and Transthoracic EchocardiographyPayerPolicy · HUMANA-TRANSESOPHAGEAL-AND-TRANSTHORACIC-ECHOCARDIOGRAPHY-MA | Metadata changed |
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