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 | UMR (UnitedHealthcare) | Korsuva (Difelikefalin) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Kisunla (Donanemab-Azbt) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Ketalar (Ketamine) and Spravato (Esketamine) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Kebilidi (Eladocagene Exuparvovec-Tneq) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Intravenous Iron Replacement Therapy (Injectafer & Monoferric) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Intravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Intracanalicular and Intravitreal Corticosteroid Implants | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Interspinous Fusion and Decompression Devices | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Intensity-Modulated Radiation Therapy | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Injectable Dermal Fillers and Bulking Agents | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Inhaled Nitric Oxide Therapy | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Infliximab (Avsola, Inflectra, Remicade, & Renflexis) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Infertility Diagnosis, Treatment, and Fertility Preservation | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Implanted Spinal Drug Delivery Systems | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Implanted Electrical Stimulator for the Spinal Cord | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Implantable Loop Recorders and Wearable Heart Rhythm Monitors | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Immune Globulin (IVIG and SCIG) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Ilumya (Tildrakizumab-Asmn) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Ilaris (Canakinumab) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Hysterectomy | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Hyperbaric Oxygen Therapy and Topical Oxygen Therapy | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Hospital Services: Observation and Inpatient | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Home Traction Therapy | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Home Health, Skilled, and Custodial Care Services | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Hereditary Angioedema (HAE), Treatment and Prophylaxis | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Hearing Aids and Devices Including Wearable, Bone-Anchored, and Semi-Implantable | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Gynecomastia Surgery | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Gonadotropin Releasing Hormone Analogs | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Glaucoma Surgical Treatments | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Givlaari (Givosiran) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Genetic Testing for Neurological Disorders | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Genetic Testing for Hereditary Cancer | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Genetic Testing for Cardiac Disease | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Gene Therapies for Hemophilia B | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Gender Dysphoria Treatment | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Gazyva (Obinutuzumab) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Gastrointestinal Pathogen Nucleic Acid Detection Panel Testing for Infectious Diarrhea | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Gastrointestinal Disorders Diagnostic Procedures | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Gamifant (Emapalumab-Lzsg) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | FDA Cleared or Approved Companion Diagnostic Testing | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | FcRn Blockers | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Facet Joint and Medial Branch Block Injections for Spinal Pain | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Indications | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Exondys 51 (Eteplirsen) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Evkeeza (Evinacumab-Dgnb) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Evenity (Romosozumab-Aqqg) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Erythropoiesis-Stimulating Agents | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Epiduroscopy, Epidural Lysis of Adhesions, and Discography | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Epidural Steroid Injections for Spinal Pain | Criteria changed |