Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
83,427 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 2, 2026 | Point32Health | High-Cost Durable Medical Equipment (DME), Adaptive Strollers and Speech Generating DevicesPayerPolicy · POINT32HEALTH-MNG-20221 | New policy |
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| Aug 2, 2026 | Point32Health | Hematopoietic Stem-Cell Transplantation (HSCT)PayerPolicy · POINT32HEALTH-MNG-20211 | New policy |
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| Aug 2, 2026 | Point32Health | Guardant360 CDxPayerPolicy · POINT32HEALTH-MNG-20201 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic and Molecular Diagnostic Testing (Carelon criteria)PayerPolicy · POINT32HEALTH-MNG-20131 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic and Molecular Diagnostic TestingPayerPolicy · POINT32HEALTH-MNG-20126 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic and Molecular Diagnostic TestingPayerPolicy · POINT32HEALTH-MNG-20116 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic Testing: Whole Exome Sequencing and Whole Genome SequencingPayerPolicy · POINT32HEALTH-MNG-20191 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic Testing: Gene Expression for Cancer of Unknown Primary (CUP)PayerPolicy · POINT32HEALTH-MNG-20181 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic Testing: BRCA1 and BRCA2 – Hereditary Breast, Ovarian, and Pancreatic CancersPayerPolicy · POINT32HEALTH-MNG-20171 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic Testing- Molecular Pathology ProceduresPayerPolicy · POINT32HEALTH-MNG-20161 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic Testing – Prenatal Diagnosis and Carrier ScreeningPayerPolicy · POINT32HEALTH-MNG-20151 | New policy |
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| Aug 2, 2026 | Point32Health | Genetic Testing – Cell-Free DNA Screening for Fetal TrisomyPayerPolicy · POINT32HEALTH-MNG-20141 | New policy |
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| Aug 2, 2026 | Point32Health | Gender Affirming ServicesPayerPolicy · POINT32HEALTH-MNG-26251 | New policy |
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| Aug 2, 2026 | Point32Health | Foot Reconstruction Procedures – Bunionectomy and Correction of Hallux ValgusPayerPolicy · POINT32HEALTH-MNG-28266 | New policy |
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| Aug 2, 2026 | Point32Health | Fertility Services for Harvard Pilgrim Health Care Massachusetts Products (Large Group and Merged Market)PayerPolicy · POINT32HEALTH-MNG-20096 | New policy |
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| Aug 2, 2026 | Point32Health | Fecal Microbial Transplant (FMT) for Clostridium Difficile InfectionPayerPolicy · POINT32HEALTH-MNG-20086 | New policy |
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| Aug 2, 2026 | Point32Health | Family Support and TrainingPayerPolicy · POINT32HEALTH-MNG-20076 | New policy |
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| Aug 2, 2026 | Point32Health | Family Support & Training (FS&T): Massachusetts ProductsPayerPolicy · POINT32HEALTH-MNG-20071 | New policy |
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| Aug 2, 2026 | Point32Health | Family Support & Training (FS&T) for Tufts Health TogetherPayerPolicy · POINT32HEALTH-MNG-19581 | New policy |
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| Aug 2, 2026 | Point32Health | Family Stabilization Treatment (FST) Criteria for Behavioral Health ServicesPayerPolicy · POINT32HEALTH-MNG-19566 | New policy |
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| Aug 2, 2026 | Point32Health | Extended Home Care Services for Tufts Health RITogetherPayerPolicy · POINT32HEALTH-MNG-19551 | New policy |
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| Aug 2, 2026 | Point32Health | Enteral Nutrition, Digestive Enzyme Cartridges and Special Medical Formulas for Tufts Health Together and Tufts Health One CarePayerPolicy · POINT32HEALTH-MNG-19536 | New policy |
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| Aug 2, 2026 | Point32Health | Enteral Nutrition Products and Digestive Enzyme Cartridges for Tufts Health RITogether, Adults and ChildrenPayerPolicy · POINT32HEALTH-MNG-19521 | New policy |
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| Aug 2, 2026 | Point32Health | Endoscopic Sinus SurgeriesPayerPolicy · POINT32HEALTH-MNG-19506 | New policy |
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| Aug 2, 2026 | Point32Health | Early Intensive Behavioral Intervention (EIBI) for Tufts Health TogetherPayerPolicy · POINT32HEALTH-MNG-27851 | New policy |
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| Aug 2, 2026 | Point32Health | Early Intensive Behavioral Intervention (EIBI)PayerPolicy · POINT32HEALTH-MNG-19391 | New policy |
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| Aug 2, 2026 | Point32Health | Donor Breast Milk for Maine ProductsPayerPolicy · POINT32HEALTH-MNG-19381 | New policy |
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| Aug 2, 2026 | Point32Health | Dental Procedures Requiring Hospital/Facility-Based Care for Tufts Health Direct, Tufts Health Together, RITogether, and One CarePayerPolicy · POINT32HEALTH-MNG-19371 | New policy |
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| Aug 2, 2026 | Point32Health | Dental Procedures Requiring Hospital/Facility-Based CarePayerPolicy · POINT32HEALTH-MNG-19341 | New policy |
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| Aug 2, 2026 | Point32Health | Dental ImplantsPayerPolicy · POINT32HEALTH-MNG-19331 | New policy |
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| Aug 2, 2026 | Point32Health | Custom Fabricated Oral Appliances for Obstructive Sleep Apnea (OSA)PayerPolicy · POINT32HEALTH-MNG-19321 | New policy |
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| Aug 2, 2026 | Point32Health | Covered Diagnosis Code Reference Tool for Outpatient Habilitative Services: Physical Therapy, Occupational Therapy, and Speech TherapyPayerPolicy · POINT32HEALTH-MNG-19311 | New policy |
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| Aug 2, 2026 | Point32Health | Continuous Glucose Monitoring and Diabetes Management Devices for Tufts Health TogetherPayerPolicy · POINT32HEALTH-MNG-19301 | New policy |
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| Aug 2, 2026 | Point32Health | Continuous Glucose Monitoring and Diabetes Management DevicesPayerPolicy · POINT32HEALTH-MNG-19291 | New policy |
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| Aug 2, 2026 | Point32Health | Comprehensive Genomic Profiling with FoundationOne CDx or FoundationOne Liquid CDx to Guide Cancer Treatment in Patients with Advanced CancerPayerPolicy · POINT32HEALTH-MNG-19271 | New policy |
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| Aug 2, 2026 | Point32Health | Community Support Programs including Specialized Community Support ProgramPayerPolicy · POINT32HEALTH-MNG-22671 | New policy |
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| Aug 2, 2026 | Point32Health | ColonoscopyPayerPolicy · POINT32HEALTH-MNG-27701 | New policy |
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| Aug 2, 2026 | Point32Health | Cochlear ImplantsPayerPolicy · POINT32HEALTH-MNG-19251 | New policy |
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| Aug 2, 2026 | Point32Health | Clinical Trials: Routine CostsPayerPolicy · POINT32HEALTH-MNG-19156 | New policy |
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| Aug 2, 2026 | Point32Health | Clinical Review of Dental Services in Medical BenefitPayerPolicy · POINT32HEALTH-MNG-19141 | New policy |
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| Aug 2, 2026 | Point32Health | Children’s Behavioral Health Initiative Therapeutic Mentoring (TM) Services For Tufts Health TogetherPayerPolicy · POINT32HEALTH-MNG-25006 | New policy |
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| Aug 2, 2026 | Point32Health | Children’s Behavioral Health Initiative In-Home Therapy (IHT) Services For Tufts Health TogetherPayerPolicy · POINT32HEALTH-MNG-25026 | New policy |
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| Aug 2, 2026 | Point32Health | Children’s Behavioral Health Initiative In-Home Behavioral Services (IHBS) for Tufts Health TogetherPayerPolicy · POINT32HEALTH-MNG-25016 | New policy |
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| Aug 2, 2026 | Point32Health | Children’s Behavioral Health Initiative Family-based Intensive Treatment (FIT)PayerPolicy · POINT32HEALTH-MNG-19131 | New policy |
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| Aug 2, 2026 | Point32Health | Child Care Services for Members Enrolled in Tufts Health Plan’s Healthy Birthday ProgramPayerPolicy · POINT32HEALTH-MNG-19106 | New policy |
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| Aug 2, 2026 | Point32Health | Cervical Spine Surgeries (Evolent)PayerPolicy · POINT32HEALTH-MNG-19091 | New policy |
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| Aug 2, 2026 | Point32Health | Cardiovascular Disease Risk TestsPayerPolicy · POINT32HEALTH-MNG-19081 | New policy |
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| Aug 2, 2026 | Point32Health | Cardiac Event MonitorsPayerPolicy · POINT32HEALTH-MNG-19066 | New policy |
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| Aug 2, 2026 | Point32Health | Cardiac Diagnostic Tests/Interventional Procedures (Evolent)PayerPolicy · POINT32HEALTH-MNG-19046 | New policy |
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| Aug 2, 2026 | Point32Health | Cardiac Diagnostic Tests/Interventional Procedures (Evolent)PayerPolicy · POINT32HEALTH-MNG-19036 | New policy |
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