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 | Health Net Oregon | Ketorolac nasal spray (Sprix); CP.PMN.282PayerPolicy · HEALTHNET_OR-CP-PMN-282 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Ibuprofen-famotidine (Duexis); CP.PMN.120PayerPolicy · HEALTHNET_OR-CP-PMN-120 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Diclofenac (Cambia, Flector, Licart, Pennsaid, Solaraze, Zipsor, Zorvolex); CP.PCH.28PayerPolicy · HEALTHNET_OR-CP-PCH-28 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Celecoxib (Celebrex, Elyxyb, Vyscoxa); CP.PMN.122PayerPolicy · HEALTHNET_OR-CP-PMN-122 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Canakinumab (Ilaris); CP.PHAR.246PayerPolicy · HEALTHNET_OR-CP-PHAR-246 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Biologic and Non-biologic DMARDs; CP.CPA.194PayerPolicy · HEALTHNET_OR-CP-CPA-194 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Step Therapy CP.CPA.83PayerPolicy · HEALTHNET_OR-CP-CPA-83 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Off Label Use CP.CPA.09PayerPolicy · HEALTHNET_OR-CP-CPA-09 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Formulary Exceptions OR.CP.CPA.190PayerPolicy · HEALTHNET_OR-OR-CP-CPA-190 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Compounded Medications CP.PMN.280PayerPolicy · HEALTHNET_OR-CP-PMN-280 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Wireless Motility CapsulePayerPolicy · HEALTHNET_OR-HNOR-WIRELESS-MOTILITY-CAPSULE-175DCBBABF | New policy |
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| Aug 2, 2026 | Health Net Oregon | Vagus Nerve StimulationPayerPolicy · HEALTHNET_OR-CP-MP-12 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Urinary Incontinence Devices and TreatmentsPayerPolicy · HEALTHNET_OR-CP-MP-142 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Transplant Service Documentation RequirementsPayerPolicy · HEALTHNET_OR-CP-MP-247 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Transcranial Magnetic Stimulation for Treatment Resistant Major DepressionPayerPolicy · HEALTHNET_OR-CP-BH-200 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Therapeutic Utilization of Inhaled Nitric OxidePayerPolicy · HEALTHNET_OR-CP-MP-87 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Tandem TransplantPayerPolicy · HEALTHNET_OR-CP-MP-162 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Stereotactic Body Radiation TherapyPayerPolicy · HEALTHNET_OR-CP-MP-22 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve StimulationPayerPolicy · HEALTHNET_OR-CP-MP-117 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Skin and Soft Tissue SubstitutesPayerPolicy · HEALTHNET_OR-CP-MP-185 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Short Inpatient Hospital StayPayerPolicy · HEALTHNET_OR-CP-MP-182 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Selective Dorsal Rhizotomy for Spasticity in Cerebral PalsyPayerPolicy · HEALTHNET_OR-CP-MP-174 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins and Other Symptomatic Venous DisordersPayerPolicy · HEALTHNET_OR-CP-MP-146 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Repair of Nasal Valve CompromisePayerPolicy · HEALTHNET_OR-CP-MP-210 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Reduction Mammoplasty and Gynecomastia SurgeryPayerPolicy · HEALTHNET_OR-CP-MP-51 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Radiation Therapy for Skin CancerPayerPolicy · HEALTHNET_OR-CP-MP-251 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Proton and Neutron Beam TherapiesPayerPolicy · HEALTHNET_OR-CP-MP-70 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Posterior Tibial Nerve Stimulation for Voiding DysfunctionPayerPolicy · HEALTHNET_OR-CP-MP-133 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Polymerase Chain Reaction Respiratory Viral Panel TestingPayerPolicy · HEALTHNET_OR-CP-MP-181 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Physical, Occupational, and Speech Therapy ServicesPayerPolicy · HEALTHNET_OR-CP-MP-49 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Pediatric Oral Function TherapyPayerPolicy · HEALTHNET_OR-CP-MP-188 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Pediatric Liver TransplantPayerPolicy · HEALTHNET_OR-CP-MP-120 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Pediatric Kidney TransplantPayerPolicy · HEALTHNET_OR-CP-MP-246 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Pediatric Heart TransplantPayerPolicy · HEALTHNET_OR-CP-MP-138 | New policy |
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| Aug 2, 2026 | Health Net Oregon | PanniculectomyPayerPolicy · HEALTHNET_OR-CP-MP-109 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Pancreas TransplantationPayerPolicy · HEALTHNET_OR-CP-MP-102 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Osteogenic StimulationPayerPolicy · HEALTHNET_OR-CP-MP-194 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Orthognathic SurgeryPayerPolicy · HEALTHNET_OR-CP-MP-202 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Nonmyeloablative Allogeneic Stem Cell TransplantsPayerPolicy · HEALTHNET_OR-CP-MP-141 | New policy |
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| Aug 2, 2026 | Health Net Oregon | NICU Discharge GuidelinesPayerPolicy · HEALTHNET_OR-CP-MP-81 | New policy |
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| Aug 2, 2026 | Health Net Oregon | NICU Apnea Bradycardia GuidelinesPayerPolicy · HEALTHNET_OR-CP-MP-82 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES)PayerPolicy · HEALTHNET_OR-CP-MP-48 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Nerve Blocks and Neurolysis for Pain ManagementPayerPolicy · HEALTHNET_OR-CP-MP-170 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Neonatal Sepsis ManagementPayerPolicy · HEALTHNET_OR-CP-MP-85 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Neonatal Abstinence Syndrome GuidelinesPayerPolicy · HEALTHNET_OR-CP-MP-86 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Multiple Sleep Latency TestingPayerPolicy · HEALTHNET_OR-CP-MP-24 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Mechanical Stretching Devices for Joint Stiffness and ContracturePayerPolicy · HEALTHNET_OR-CP-MP-144 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Lung TransplantationPayerPolicy · HEALTHNET_OR-CP-MP-57 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Liposuction for LipedemaPayerPolicy · HEALTHNET_OR-CP-MP-244 | New policy |
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| Aug 2, 2026 | Health Net Oregon | Lantidra (donislecel): Allogeneic Pancreatic Islet Cellular TherapyPayerPolicy · HEALTHNET_OR-CP-MP-250 | New policy |
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