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 10, 2026 | UnitedHealthcare Medicare Advantage | Osteopathic Manipulations (OMT) | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Orthopedic Procedures, Devices, and Products | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Omnibus Codes | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Neurologic Services and Procedures | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Molecular Pathology/Molecular Diagnostics/Genetic Testing | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Molecular Pathology/Genetic Testing Reported with Unlisted Codes | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Medications/Drugs (Outpatient/Part B) | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Medicare Part B Step Therapy Programs – Medicare Advantage Drug Policy | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Joint Procedures | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Hospital, Emergency, and Ambulance Services | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Hearing Aids and Auditory Implants | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Gender Dysphoria and Gender Reassignment Surgery | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Gastroesophageal and Gastrointestinal (GI) Services and Procedures | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Experimental Procedures and Items, Investigational Devices, and Clinical Trials | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Electrical Stimulators | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Ear, Nose, and Throat Procedures | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Durable Medical Equipment (DME), Prosthetics, Orthotics (Non-Foot Orthotics), Nutritional Therapy, and Medical Supplies Grid | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Cosmetic and Reconstructive Procedures | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Corneal Topography | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Computerized Dynamic Posturography | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Clinical Diagnostic Laboratory Services | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Category III CPT Codes | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Cardiovascular Diagnostic and Therapeutic Procedures | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Capsule Endoscopy | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Brow Ptosis and Eyelid Repair | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Ambulatory Electrocardiographic (AECG) Monitoring | Criteria changed |
| May 10, 2026 | UnitedHealthcare Medicare Advantage | Ambulatory EEG Monitoring | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Weight Gain or Weight Loss Programs | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Vision Care and Services | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Veteran's Administration (VA) | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Treatment of Temporomandibular Joint (TMJ) Disorders | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Treatment of Morbid Obesity | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Transplantation Services | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Telehealth and Virtual Care Services | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Skilled Nursing Facility (SNF): Skilled Nursing Facility (SNF) Care | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Shoes and Foot Orthotics | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Sexual Dysfunction | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Services/Complications Related to Non-Covered Services | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Services While Confined/Incarcerated | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Rehabilitation Services (Physical, Occupational, and Speech Therapy) | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Preventive Care Services | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Post Mastectomy Surgery | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Physician Services: Primary Care and Specialist Visits | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Pain Management | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Member Initiated Second and Third Opinion | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Medications and Off-Label Drugs | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Medical Necessity | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Maternity and Newborn Care | Criteria changed |
| May 10, 2026 | UnitedHealthcare West | Inpatient and Outpatient Mental Health | Criteria changed |