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 |
|---|
| Aug 2, 2026 | Highmark Wholecare | Acne Agents, OralPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-ACNE-AGENTS-ORAL | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Testing for Genetic DiseasePayerPolicy · HIGHMARK_WHOLECARE-MP-035-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) (NCD 20.35)PayerPolicy · HIGHMARK_WHOLECARE-MP-077-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Speech-Generating Devices (L33739)PayerPolicy · HIGHMARK_WHOLECARE-MP-082-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Pulmonary Rehabilitation (PR)PayerPolicy · HIGHMARK_WHOLECARE-MP-037-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Post-Acute CarePayerPolicy · HIGHMARK_WHOLECARE-MP-105-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Pharmacogenomic Testing for Warfarin Response (NCD 90.1)PayerPolicy · HIGHMARK_WHOLECARE-MP-044-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Peripheral Venous Ultrasound (L35341)PayerPolicy · HIGHMARK_WHOLECARE-MP-067-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Percutaneous Transluminal Angioplasty (PTA) (NCD 20.7)PayerPolicy · HIGHMARK_WHOLECARE-MP-056-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Osteogenic Stimulators (150.2)PayerPolicy · HIGHMARK_WHOLECARE-MP-098-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Observation and Inpatient AdmissionsPayerPolicy · HIGHMARK_WHOLECARE-MP-104-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Knee Pain Treatment with Genicular ProceduresPayerPolicy · HIGHMARK_WHOLECARE-MP-106-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs) (L38229)PayerPolicy · HIGHMARK_WHOLECARE-MP-093-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Fecal Microbiota TransplantPayerPolicy · HIGHMARK_WHOLECARE-MP-062-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring) (L34636)PayerPolicy · HIGHMARK_WHOLECARE-MP-099-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Cosmetic and Reconstructive Surgery (L35090)PayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICARE-MEDICAL-MP-080-MC-PA-COSMETICRECONSTRUCTIVE-SEP2-8C01DCB895 | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Controlled Substance Monitoring and Drugs of Abuse Testing (L35006)PayerPolicy · HIGHMARK_WHOLECARE-MP-100-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Chromosomal Microarray Analysis: Comparative Genomic Hybridization (CGH) and Single Nucleotide Polymorphism (SNP)PayerPolicy · HIGHMARK_WHOLECARE-MP-036-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Carpal Tunnel SurgeryPayerPolicy · HIGHMARK_WHOLECARE-MP-031-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Cardiac Rhythm Device Evaluation (L34833)PayerPolicy · HIGHMARK_WHOLECARE-MP-045-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Bronchial ThermoplastyPayerPolicy · HIGHMARK_WHOLECARE-MP-019-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Blood Glucose Testing (NCD 190.20)PayerPolicy · HIGHMARK_WHOLECARE-MP-060-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Biomarkers Overview (L35062)PayerPolicy · HIGHMARK_WHOLECARE-MP-076-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Automatic External Defibrillators (AED) (L33690)PayerPolicy · HIGHMARK_WHOLECARE-MP-051-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Assessing Patient’s Suitability for Electrical Nerve Stimulation Therapy (160.7.1 & 160.7)PayerPolicy · HIGHMARK_WHOLECARE-MP-065-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Assays for Vitamins and Metabolic Function (L34914)PayerPolicy · HIGHMARK_WHOLECARE-MP-079-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Ambulance Services (Air)PayerPolicy · HIGHMARK_WHOLECARE-MP-075-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | 4Kscore Test Algorithm (L37792)PayerPolicy · HIGHMARK_WHOLECARE-MP-090-MC-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic DisordersPayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICAL-MP-013-MD-PA-WHOLEEXOMEGENOME-SEPT22-A3C0148976 | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Wearable Cardioverter-Defibrillators in the Home SettingPayerPolicy · HIGHMARK_WHOLECARE-MP-001-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Vision Therapy (Orthoptics and Pleoptics)PayerPolicy · HIGHMARK_WHOLECARE-MP-131-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Vitamin D Assay TestingPayerPolicy · HIGHMARK_WHOLECARE-MP-081-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Tumor MarkersPayerPolicy · HIGHMARK_WHOLECARE-MP-120-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Treatment of the ProstatePayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICAL-MP-107-MD-PA-PROSTATICUROLIFTSYSTEM-AR20-B5B81225D3 | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Thyroid Disorder Laboratory TestingPayerPolicy · HIGHMARK_WHOLECARE-MP-149-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Testing for Genetic DiseasePayerPolicy · HIGHMARK_WHOLECARE-MP-010-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Surgical Treatment of Obstructive Sleep ApneaPayerPolicy · HIGHMARK_WHOLECARE-MP-098-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Supervised Exercise Therapy (SET) in the Management of Peripheral Artery DiseasePayerPolicy · HIGHMARK_WHOLECARE-MP-077-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Speech Generating DevicesPayerPolicy · HIGHMARK_WHOLECARE-MP-110-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Somatic Mutation TestingPayerPolicy · HIGHMARK_WHOLECARE-MP-150-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Skin Replacement Therapy for Chronic Non healing Wounds in the Outpatient Settin gPayerPolicy · HIGHMARK_WHOLECARE-MP-032-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Single-use Ambulatory Electrocardiographic Monitors (e.g., Zio Patch)PayerPolicy · HIGHMARK_WHOLECARE-MP-076-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Serum Biomarker Panel Testing for Systemic Lupus ErythematosusPayerPolicy · HIGHMARK_WHOLECARE-MP-124-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Selected Tests for Rheumatic DiseasesPayerPolicy · HIGHMARK_WHOLECARE-MP-122-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Scanning Computerized Ophthalmic Diagnostic ImagingPayerPolicy · HIGHMARK_WHOLECARE-MP-096-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Respiratory Infection Pathogen Panel (RIPP) Molecular TestingPayerPolicy · HIGHMARK_WHOLECARE-MP-148-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Repetitive Transcranial Magnetic StimulationPayerPolicy · HIGHMARK_WHOLECARE-MP-101-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Pulse Oximetry, Home UsePayerPolicy · HIGHMARK_WHOLECARE-MP-140-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Pulmonary Rehabilitation (PR)PayerPolicy · HIGHMARK_WHOLECARE-MP-058-MD-PA | New policy |
|---|
| Aug 2, 2026 | Highmark Wholecare | Prescription Digital TherapeuticsPayerPolicy · HIGHMARK_WHOLECARE-MP-112-MD-PA | New policy |
|---|