Coverage policy updates

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.

Recorded changes

82,180 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Cochlear ImplantsPayerPolicy · BCBSRI-COCHLEAR-IMPLANTS	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Catheter Ablation as Treatment for Atrial FibrillationPayerPolicy · BCBSRI-CATHETER-ABLATION-AS-TREATMENT-FOR-ATRIAL-FIBRILLATION	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Biomarker Testing Mandate - Effective 12/1/2026PayerPolicy · BCBSRI-BIOMARKER-TESTING-MANDATE-FUTURE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Biomarker Testing Mandate - Effective 1/1/2027PayerPolicy · BCBSRI-BIOMARKER-TESTING-MANDATE-FUTURE-2	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Biomarker Testing MandatePayerPolicy · BCBSRI-BIOMARKER-TESTING-MANDATE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease, Effective 1/1/2027PayerPolicy · BCBSRI-BIOMARKER-TESTING-IN-RISK-ASSESSMENT-AND-MANAGEMENT-OF-CARDI-FUTURE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Bioimpedance Devices for Detection and Management of LymphedemaPayerPolicy · BCBSRI-BIOIMPEDANCE-DEVICES-FOR-DETECTION-AND-MANAGEMENT-OF-LYMPHED	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Balloon Dilation of the Eustachian TubePayerPolicy · BCBSRI-BALLOON-DILATION-OF-THE-EUSTACHIAN-TUBE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis and Predict Therapeutic Response in Individuals With Breast CancerPayerPolicy · BCBSRI-ASSAYS-OF-GENETIC-EXPRESSION-IN-TUMOR-TISSUE-AS-A-TECHNIQUE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Preventive Services for Medicare Advantage PlansPayerPolicy · BCBSRI-PREVENTIVE-SERVICES-FOR-MEDICARE-ADVANTAGE-PLANS	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Preventive Services for Commercial MembersPayerPolicy · BCBSRI-PREVENTIVE-SERVICES-FOR-COMMERCIAL-MEMBERS	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Non-Reimbursable Health Service Codes Policy 2026PayerPolicy · BCBSRI-NON-REIMBURSABLE-HEALTH-SERVICE-CODES-POLICY-2026	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Device Intensive Procedure EditPayerPolicy · BCBSRI-DEVICE-INTENSIVE-PROCEDURE-EDIT	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Behavioral Health Outpatient Professional ServicesPayerPolicy · BCBSRI-BEHAVIORAL-HEALTH-OUTPATIENT-PROFESSIONAL-SERVICES	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Behavioral Health Integration Services including the Collaborative Care ModelPayerPolicy · BCBSRI-BEHAVIORAL-HEALTH-INTEGRATION-SERVICES-INCLUDING-THE-COLLABO	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Uterus Transplantation for Absolute Uterine Factor InfertilityPayerPolicy · BCBSRI-UTERUS-TRANSPLANTATION-FOR-ABSOLUTE-UTERINE-FACTOR-INFERTILI	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress IncontinencePayerPolicy · BCBSRI-TRANSVAGINAL-AND-TRANSURETHRAL-RADIOFREQUENCY-TISSUE-REMODEL	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial FibrillationPayerPolicy · BCBSRI-SURGICAL-LEFT-ATRIAL-APPENDAGE-OCCLUSION-DEVICES-FOR-STROKE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Speech TherapyPayerPolicy · BCBSRI-SPEECH-THERAPY	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer, Effective 1/1/2027PayerPolicy · BCBSRI-SATURATION-BIOPSY-FOR-DIAGNOSIS-STAGING-AND-MANAGEMENT-OF-PR-FUTURE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Rehabilitative Devices with Remote MonitoringPayerPolicy · BCBSRI-REHABILITATIVE-DEVICES-WITH-REMOTE-MONITORING	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Orthopedic Applications of Stem Cell Therapy, Effective 1/1/2027PayerPolicy · BCBSRI-ORTHOPEDIC-APPLICATIONS-OF-STEM-CELL-THERAPY-FUTURE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Medicare Advantage Plans National and Local Coverage DeterminationsPayerPolicy · BCBSRI-MEDICARE-ADVANTAGE-PLANS-NATIONAL-AND-LOCAL-COVERAGE-DETERMI	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandate, Effective 1/1/2027PayerPolicy · BCBSRI-MASTECTOMY-TREATMENT-BREAST-RECONSTRUCTION-AND-HOSPITAL-STAY-FUTURE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Low-Level Laser TherapyPayerPolicy · BCBSRI-LOW-LEVEL-LASER-THERAPY	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Intracoronary Drug Delivery Balloon ProceduresPayerPolicy · BCBSRI-INTRACORONARY-DRUG-DELIVERY-BALLOON-PROCEDURES	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Gene Expression Profile Testing and Circulating Tumor DNA Testing for Predicting Recurrence in Colon CancerPayerPolicy · BCBSRI-GENE-EXPRESSION-PROFILE-TESTING-AND-CIRCULATING-TUMOR-DNA-TE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Electronic Brachytherapy for Nonmelanoma Skin Cancer - Effective 1/1/2027 (New Title: Superficial Radiation Therapy and Electronic Brachytherapy for Nonmelanoma Skin Cancer)PayerPolicy · BCBSRI-ELECTRONIC-BRACHYTHERAPY-FOR-NONMELANOMA-SKIN-CANCER-FUTURE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Digital Health Technologies for Attention Deficit/Hyperactivity DisorderPayerPolicy · BCBSRI-DIGITAL-HEALTH-TECHNOLOGIES-FOR-ATTENTION-DEFICIT-HYPERACTIV	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Corneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy, Effective 12/1/2026PayerPolicy · BCBSRI-CORNEAL-TOPOGRAPHY-COMPUTER-ASSISTED-CORNEAL-TOPOGRAPHY-PHOT-FUTURE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Corneal Topography/Computer-Assisted Corneal Topography/PhotokeratoscopyPayerPolicy · BCBSRI-CORNEAL-TOPOGRAPHY-COMPUTER-ASSISTED-CORNEAL-TOPOGRAPHY-PHOT	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Chelation Therapy for Off-Label UsesPayerPolicy · BCBSRI-CHELATION-THERAPY-FOR-OFF-LABEL-USES	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Baroreflex Stimulation DevicesPayerPolicy · BCBSRI-BAROREFLEX-STIMULATION-DEVICES	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Automated Point of Care Nerve Conduction TestsPayerPolicy · BCBSRI-AUTOMATED-POINT-OF-CARE-NERVE-CONDUCTION-TESTS	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Radiofrequency Volumetric Tissue Reduction for Nasal Obstruction Effective 12-1-26PayerPolicy · BCBSRI-RADIOFREQUENCY-VOLUMETRIC-TISSUE-REDUCTION-FOR-NASAL-OBSTRUC	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Interspinous Fixation (Fusion) Devices, Effective 1/1/2027PayerPolicy · BCBSRI-INTERSPINOUS-FIXATION-FUSION-DEVICES	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Implantable Shock Absorbers for Treatment of Knee Osteoarthritis, Effective 12/1/2026PayerPolicy · BCBSRI-IMPLANTABLE-SHOCK-ABSORBERS-FOR-TREATMENT-OF-KNEE-OSTEOARTHR	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Continuous Passive Motion with Remote Monitoring or Adaptive Capabilities Effective 12-1-26PayerPolicy · BCBSRI-CONTINUOUS-PASSIVE-MOTION-WITH-REMOTE-MONITORING-OR-ADAPTIVE	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Audio Visual Neuromodulation for Neuropathic Pain Effective 12-1-26PayerPolicy · BCBSRI-AUDIO-VISUAL-NEUROMODULATION-FOR-NEUROPATHIC-PAIN	New policy
Sep 30, 2026	Blue Cross Blue Shield of North Dakota	MigratedPayerPolicy · BCBSND-MIGRATED-A55E595A7A	New policy
Sep 30, 2026	Blue Cross Blue Shield of North Dakota	Migrated SearchPayerPolicy · BCBSND-MIGRATED-SEARCH-611CABD78C	New policy
Sep 30, 2026	Blue Cross Blue Shield of North Dakota	Medical Policy WizardPayerPolicy · BCBSND-MEDICAL-POLICY-WIZARD-4D51DB11BA	New policy
Sep 30, 2026	UnitedHealthcare	In-Office Laboratory Testing and Procedures ListPayerPolicy · UHC-OXADM-IN-OFFICE-LAB-TESTING-PROCEDURES-LIST-OHP	Metadata changed
Sep 30, 2026	UnitedHealthcare	Vitamin B12 Testing Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-VITAMIN-B12-TESTING-POLICY-PROFESSIONAL-37C87E6E50	Retired
Sep 30, 2026	UnitedHealthcare	Onychomycosis Testing Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-ONYCHOMYCOSIS-TESTING-POLICY-PROFESSIONA-4BCDC2725F	Retired
Sep 30, 2026	UnitedHealthcare	Diagnostic Testing for Influenza Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-DIAGNOSTIC-TESTING-FOR-INFLUENZA-POLICY-D4C3E4E039	Retired
Sep 30, 2026	UnitedHealthcare	Diabetes Mellitus Testing Policy Professional and Facility Reimbursement PolicyPayerPolicy · UHC-EXCH-RP-DIABETES-MELLITUS-TESTING-POLICY-PROFESS-2CD6443B32	Retired
Sep 30, 2026	UnitedHealthcare	Clinical Diagnostic Lab Policy, Professional - UnitedHealthcare Individual ExchangePayerPolicy · UHC-EXCH-RP-CLINICAL-DIAGNOSTIC-LAB-POLICY-PROFESSIO-A05227EDC0	Retired
Sep 30, 2026	UnitedHealthcare	Vitamin B12 Testing Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-VITAMIN-B12-TESTING-POLICY	New policy
Sep 30, 2026	UnitedHealthcare	Onychomycosis Testing Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-ONYXCHOMYCOSIS-TESTING-POLICY	New policy