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 Massachusetts	Gene Therapy for Spinal Muscular Atrophy (SMA) Prior Authorization Request FormPayerPolicy · BCBSMA-085-2088B16F8A	New policy
Sep 30, 2026	Blue Cross Blue Shield of Massachusetts	Gene Therapies for Spinal Muscular Atrophy (SMA)PayerPolicy · BCBSMA-008-FFBEB6136A	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DRUG COATED BALLOON FOR BENIGN PROSTATIC HYPERPLASIA LOWER URINARY TRACT SYMPTOMS & URETHRAL STRICTURES (I.E., OPTILUME DRUG COATED BALLOON) (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209362-A6764802A3	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SCREENING FOR LUNG CANCER AND PULMONARY NODULE EVALUATION USING LOW DOSE COMPUTED TOMOGRAPHY (CT) SCANNING AND COMPUTER AIDED DETECTION (CAD) (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209379-FA6621C8D2	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MULTIMARKER SERUM-BASED TESTING RELATED TO OVARIAN CANCER (E.G., OVA1, OVERA, OVAWATCH, GLYCOKNOW OVARIAN AND ROMA TESTING) (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209378-392273413B	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT): CANCER OF THE HEAD AND NECK OR THYROID (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209370-FF9694DE6D	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT): CENTRAL NERVOUS SYSTEM TUMORS (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209371-61F868F3A7	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR FMR1 VARIANTS (INCLUDING FRAGILE X SYNDROME) AND FMR2 VARIANTS (INCLUDING FRAGILE XE SYNDROME) (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210508-A97EB2D942	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT): ABDOMEN, PELVIS, AND CHEST (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209368-ED8EF1AD56	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CONTRAST-ENHANCED COMPUTED TOMOGRAPHY ANGIOGRAPHY (CTA, CCTA, MDCT, MSCT) OF THE HEART AND/OR CORONARY ARTERIES (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209363-F786AACAB5	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT) OF THE BREAST AND LUNG (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209369-F16B710492	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE TURNOVER MARKERS FOR DIAGNOSIS AND MANAGEMENT OF OSTEOPOROSIS AND DISEASES ASSOCIATED WITH HIGH BONE TURNOVER (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210517-4738A948E6	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ORTHOPEDIC APPLICATIONS OF STEM-CELL THERAPY (INCLUDING AUTOLOGOUS STEM CELLS USED WITH ALLOGRAFTS AND BONE SUBSTITUTES) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194064-DECCC9A84D	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CIRCULATING TUMOR DNA FOR MANAGEMENT OF NON-SMALL CELL LUNG CANCER (LIQUID BIOPSY) (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210513-81150D6F78	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	IN-OFFICE NEEDLE ARTHROSCOPY (E.G., MI-EYE 2, MI-EYE 3 NEEDLESCOPE WITH CANNULA, AND VISIONSCOPE) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196216-E7B2A306B1	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR FLT3, NPM1, CEBPA, IDH1 AND IDH2 VARIANTS IN ACUTE MYELOID LEUKEMIA (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210507-45B34DD021	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING-ASSAYS OF GENETIC EXPRESSION IN TUMOR TISSUE AS A TECHNIQUE TO HELP GUIDE DECISION-MAKING IN PATIENTS WITH BREAST CANCERPayerPolicy · BCBSM-86868-3CD924DD66	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT) AND IMAGE-GUIDED RADIATION THERAPY (IGRT) OF THE PROSTATE (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209367-D3D4CE1BF2	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW TRANSPLANT - HEMATOPOIETIC CELL TRANSPLANTATION FOR EPITHELIAL AND SMALL CELL OVARIAN CANCER (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210520-A32040120C	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR LYNCH SYNDROME AND OTHER INHERITED COLON CANCER SYNDROMES (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209374-F4002587D8	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LABORATORY TESTS POST TRANSPLANT (KIDNEY, HEART, AND LUNG) AND FOR HEART FAILURE (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210516-1AB65D2F68	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LIGHT AND LASER THERAPY FOR VITILIGO AND ECZEMA (INCLUDING FRAGILE XE SYNDROME) (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210509-4F57AFA1F1	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GROWING RODS FOR SCOLIOSIS (E.G., MAGEC SPINAL BRACING AND DISTRACTION SYSTEM) (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209376-52473931AB	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BMT-HCT GENE THERAPIES FOR SICKLE CELL DISEASE (AUTOLOGOUS) (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210518-B6A69F782D	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - MALIGNANT GLIOMAS INCLUDING MGMT PROMOTER METHYLATION (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209375-0A9FD2B928	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	RADIOFREQUENCY ABLATION OF PERIPHERAL NERVES TO TREAT PAIN INCLUDING COOLIEF COOLED RF - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194668-923B2A3344	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CORONARY COMPUTED TOMOGRAPHY ANGIOGRAPHY WITH SELECTIVE NONINVASIVE FRACTIONAL FLOW RESERVE (FFRCT) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195974-3B6794D6A4	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY MODULATED RADIATION THERAPY (IMRT): CENTRAL NERVOUS SYSTEM TUMORS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197010-34B65DA202	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR FMR1 AND FMR2 VARIANTS (INCLUDING FRAGILE X AND FRAGILE XE SYNDROMES)PayerPolicy · BCBSM-2034253-4AC8FC5445	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	REDUCTION MAMMAPLASTY (BREAST REDUCTION) FOR BREAST-RELATED SYMPTOMS (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210524-CBD8F74084	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TELEMONITORING - REMOTE PATIENT MONITORING AND REMOTE THERAPEUTIC MONITORING (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210526-847A14B74F	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MICROPROCESSOR-CONTROLLED & POWER PROSTHESES AND ORTHOSES FOR THE LOWER LIMB (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210514-FC0BFFFF36	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TELEMONITORING- REMOTE PATIENT MONITORING AND REMOTE THERAPEUTIC MONITORING (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209365-49658463AA	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING (SENSORY-EVOKED POTENTIALS, MOTOR-EVOKED POTENTIALS, EEG MONITORING)PayerPolicy · BCBSM-2026111-A8362DF418	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT): CANCER OF THE HEAD AND NECK OR THYROID - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193814-F30E42890B	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LAPAROSCOPIC, PERCUTANEOUS, AND TRANSCERVICAL TECHNIQUES FOR UTERINE FIBROID MYOLYSIS (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210521-DAAB072081	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	RECONSTRUCTIVE BREAST SURGERY AND MANAGEMENT OF BREAST IMPLANTS (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210510-0124AB3C06	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW/HEMATOPOIETIC STEM CELL TRANSPLANTATION FOR MISCELLANEOUS SOLID TUMORS IN ADULTSPayerPolicy · BCBSM-2019829-5ED265FE92	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - ANALYSIS OF MGMT PROMOTER METHYLATION IN MALIGNANT GLIOMAS- MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198885-004E9F086D	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BARIATRIC SURGERY (GASTRIC SURGERY FOR MORBID OBESITY) (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209360-F7A33774D8	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	OPTICAL COHERENCE TOMOGRAPHY (OCT) OF THE BREAST AND/OR AXILLARY LYMPH NODES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197632-B364799DE9	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT): ABDOMEN, PELVIS, AND CHEST - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193858-4C26481994	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR TAY-SACHS DISEASE (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209357-AB8E3155A0	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MENISCAL ALLOGRAFTS AND OTHER MENISCAL IMPLANTS (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209359-8FFEFCF3B6	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SPEECH AND LANGUAGE PATHOLOGY/SWALLOWING REHABILITATION (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210511-6C589835B7	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW TRANSPLANT HEMATOPOIETIC CELL TRANSPLANTATION FOR EPITHELIAL OVARIAN CANCERPayerPolicy · BCBSM-2026842-9FD3019F20	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CRYOABLATION OR CRYONEUROLYSIS (E.G., IOVERA° SYSTEM) OF PERIPHERAL NERVES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193020-591A67CA8A	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERORAL ENDOSCOPIC MYOTOMY FOR TREATMENT OF ESOPHAGEAL ACHALASIA OR GASTROPARESIS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194115-D31D2593C2	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY MODULATED RADIATION THERAPY (IMRT) OF THE BREAST AND LUNG - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193813-7B2FB4613C	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	STEREOTACTIC RADIOSURGERY AND STEREOTACTIC BODY RADIOTHERAPY (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209364-217550DAE6	Retired