Policy changes Backwork has recorded, newest first. The most recent change on record is from October 2, 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.
82,180 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| Sep 30, 2026 | Molina Healthcare | Annual Wellness Visit sooner than 11 months following Initial IPPE | Retired |
| Sep 30, 2026 | Molina Healthcare | Corrected Claims | Retired |
| Sep 30, 2026 | Molina Healthcare | Overlapping Room and Borad | Retired |
| Sep 30, 2026 | Molina Healthcare | Urgent Care Marketplace | Retired |
| Sep 30, 2026 | Molina Healthcare | Semiprivate Vs Private Room | Retired |
| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Revenue to CPT Code Review | Retired |
| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Diagnosis Codes | Retired |
| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT Code | Retired |
| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment Reduction | Retired |
| Sep 30, 2026 | Molina Healthcare | Marketplace FQHC and RHC | Retired |
| Sep 30, 2026 | Molina Healthcare | General Billing and Coding Policy | Retired |
| Sep 30, 2026 | Molina Healthcare | Fee Schedule | Retired |
| Sep 30, 2026 | Molina Healthcare | Duplicate Claims | Retired |
| Sep 30, 2026 | Molina Healthcare | Cross-Departmental Recovery Policy | Retired |
| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care Professional | Retired |
| Sep 30, 2026 | Molina Healthcare | STI Lab Panel Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Specimen Validity Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Respiratory Pathogen Panel Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Packaged and conditionally packaged lab services | Retired |
| Sep 30, 2026 | Molina Healthcare | Molecular Pathology | Retired |
| Sep 30, 2026 | Molina Healthcare | Labs Overlapping with Facility | Retired |
| Sep 30, 2026 | Molina Healthcare | Allergy Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Sepsis | Retired |
| Sep 30, 2026 | Molina Healthcare | Readmission | Retired |
| Sep 30, 2026 | Molina Healthcare | Psychotherapy Add On with High Level EM | Retired |
| Sep 30, 2026 | Molina Healthcare | Outpatient Hospital Blood and Blood Products Policy Facility | Retired |
| Sep 30, 2026 | Molina Healthcare | Optum Pause and Pay | Retired |
| Sep 30, 2026 | Molina Healthcare | Observation | Retired |
| Sep 30, 2026 | Molina Healthcare | Newborn and NICU | Retired |
| Sep 30, 2026 | Molina Healthcare | Hospice | Retired |
| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive Medicine | Retired |
| Sep 30, 2026 | Molina Healthcare | General Anesthesia and IV Sedation for Pediatric Dental Services | Retired |
| Sep 30, 2026 | Molina Healthcare | Facility Emergency Department Evaluation and Management leveling | Retired |
| Sep 30, 2026 | Molina Healthcare | Excludes 1 Note | Retired |
| Sep 30, 2026 | Molina Healthcare | DRG Clinical Validation | Retired |
| Sep 30, 2026 | Molina Healthcare | Appropriate Level of Care Reimbursement | Retired |
| Sep 30, 2026 | Molina Healthcare | Unspecifiedcodesintheinpatientsettings12172024 R | Retired |
| Sep 30, 2026 | Molina Healthcare | Unspecified Codes in an Inpatient Setting | Retired |
| Sep 30, 2026 | Molina Healthcare | Unlisted Coding | Retired |
| Sep 30, 2026 | Molina Healthcare | Therapy Modifier Coding | Retired |
| Sep 30, 2026 | Molina Healthcare | Tendon Injections Missing Diagnosis | Retired |
| Sep 30, 2026 | Molina Healthcare | Status Indicator Flag B Bundled Codes | Retired |
| Sep 30, 2026 | Molina Healthcare | Repeat Procedure Modifiers 76 77 | Retired |
| Sep 30, 2026 | Molina Healthcare | Reduced Services and Discontinued Procedures | Retired |
| Sep 30, 2026 | Molina Healthcare | PT OT Initial Evaluations | Retired |
| Sep 30, 2026 | Molina Healthcare | Procedure to Place of Service Policy Professional | Retired |
| Sep 30, 2026 | Molina Healthcare | Physical Therapy Max Units Per Day | Retired |
| Sep 30, 2026 | Molina Healthcare | Outpatient Hospital Blood and Blood Products Policy Facility | Retired |
| Sep 30, 2026 | Molina Healthcare | Multiple EM codes for the same provider same date of service | Retired |
| Sep 30, 2026 | Molina Healthcare | MP Facility Bilateralor Anatomical Modifier Use | Retired |