Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 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

86,510 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Radiofrequency Volumetric Tissue Reduction for Nasal ObstructionPayerPolicy · BCBSMA-140-B716438C9B	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Surgical and Transesophageal Endoscopic Procedures to Treat Gastroesophageal Reflux Disease prnPayerPolicy · BCBSMA-920-4659AF697F	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Sleep Disorder Management CPT and HCPCS Codes prnPayerPolicy · BCBSMA-970-77D01D0AEA	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Sleep Disorder Management prnPayerPolicy · BCBSMA-969-F87ADA08C2	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Quality Care Cancer Program (Radiation Oncology) CPT and HCPCS CodesPayerPolicy · BCBSMA-938-8B41878013	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Quality Care Cancer Program (Radiation Oncology)PayerPolicy · BCBSMA-937-41EED88609	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request form MP 028 Adjunct Meds to Support Hematopoietic Stem Cell Transplantation and ComplicationsPayerPolicy · BCBSMA-067-2C6128C72F	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Zolgensma (onasemnogene abeparvovec-xioi) for Spinal Muscular Atrophy MP 008 prnPayerPolicy · BCBSMA-085-CF0C6EC332	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Treatment of Varicose Veins Venous InsufficiencyPayerPolicy · BCBSMA-129-224F4C017D	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Synovial SarcomaPayerPolicy · BCBSMA-222-759D0B7953	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Surgical and Transesophageal Endoscopic Procedures to Treat Gastroesophageal Reflux Disease MP 920 prnPayerPolicy · BCBSMA-956-8BC137B77B	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Scenesse MP 077PayerPolicy · BCBSMA-160-A64BECC4AC	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Myoelectric Prosthetic and Components for the Upper Limb MP 227PayerPolicy · BCBSMA-973-3E4227DBDD	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for LyfgeniaPayerPolicy · BCBSMA-079-97A3419D7D	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Intraosseus Basivertebral Nerve Ablation Intracept System MP 485PayerPolicy · BCBSMA-486-3B1B674F34	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapy for Cerebral Adrenoleukodystrophy SKYSONAPayerPolicy · BCBSMA-242-9192ECAF44	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapies for Thalassemia Zynteglo Betibeglogene automeucel MP 215PayerPolicy · BCBSMA-216-74639BFB92	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapies for Thalassemia Casgevy AutotemcelPayerPolicy · BCBSMA-217-BDE823345E	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapies for Sickle Cell DiseasePayerPolicy · BCBSMA-055-3076080E50	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapies for Metachromatic LeukodystrophyPayerPolicy · BCBSMA-109-3934E5A8A9	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapies for Hemophilia BPayerPolicy · BCBSMA-169-98E1F306F2	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapies for Hemophilia A Roctavian (Valoctocogene roxaparvovec-rvox)PayerPolicy · BCBSMA-166-9E21974359	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapies for Aromatic L-amino Acid Decarboxylase DeficiencyPayerPolicy · BCBSMA-209-AB4C00662E	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gene Therapies DEB - ZevaskynPayerPolicy · BCBSMA-230-39D8AC3490	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Gender Affirming Services (Transgender Services) MP 189 prnPayerPolicy · BCBSMA-901-4C14E632E8	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Esketamine Nasal Spray and Intravenous Ketamine for Mental Health ConditionsPayerPolicy · BCBSMA-094-6C5CDC6EE3	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Engineered T-Cell Therapy Services for B-cell Acute Lymphoblastic Leukemia MP 066PayerPolicy · BCBSMA-945-54BB845061	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Electrolysis for Gender Affirming Services MP 189 prnPayerPolicy · BCBSMA-902-0103F0F320	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Duchenne Muscular DystrophyPayerPolicy · BCBSMA-025-0B454F7C43	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Diagnosis and Treatment of Sacroiliac Joint Pain MP 320PayerPolicy · BCBSMA-927-6E2CCABD9F	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Cell and Gene Therapies for Ocular Diseases MP 911PayerPolicy · BCBSMA-926-0E46B8B9C7	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for CAR-T for Chronic or Small Lymphocytic Lymphoma (Lisocabtagene Marale)PayerPolicy · BCBSMA-847-6EA8594ED8	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request form for CAR-T Cell Therapy Services for Mantle Cell Lymphoma (Lisocabtagene Maraleucel)PayerPolicy · BCBSMA-848-408CE0BC15	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request form for CAR-T Cell Therapy Services for Follicular Lymphoma (Lisocabtagene Maraleucel)PayerPolicy · BCBSMA-849-7A5424A4B8	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for CAR T-Cell Therapy Services for Treatment of Follicular Lymphoma (tisagenlecleucel) MP 066PayerPolicy · BCBSMA-846-C8EBF6CFA6	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for CAR T-Cell Therapy Services for Treatment of Diffuse Large B-cell Lymphoma (Tisagenlecleucel) MP 066PayerPolicy · BCBSMA-844-7D20E69070	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for CAR T-Cell Therapy Services for Treatment of Diffuse Large B-cell Lymphoma prnPayerPolicy · BCBSMA-924-6E73E71F24	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for CAR T-Cell Therapy Services for Non-Hodgkin Lymphoma (Lisocabtagene Maraleucel)PayerPolicy · BCBSMA-941-1B20DD15CD	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for CAR T-Cell Therapy Services for Mantle Cell Lymphoma (Brexucabtagene Autoleucel) MP 066PayerPolicy · BCBSMA-940-16CC0284EF	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for CAR T-Cell Therapy Services for Follicular Lymphoma (Axicabtagene Ciloleucel)PayerPolicy · BCBSMA-944-048FA76487	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for CAR T-Cell Therapy Services for B-cell Acute Lymphoblastic Leukemia (tisagenlecleucel) MP 066 prnPayerPolicy · BCBSMA-925-CA01A2458A	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Adstiladrin (nadofaragene firadenovec-vncg)PayerPolicy · BCBSMA-193-6831B071DF	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Prior Authorization Request Form for Adoptive Cell Therapies for Melanoma MP 089PayerPolicy · BCBSMA-096-57A937BAB2	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Preauthorization Request Form for 379 Surgical Management of Obesity Policy prnPayerPolicy · BCBSMA-047-5E89402F43	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Outpatient Prior Authorization Code List prnPayerPolicy · BCBSMA-072-17463A25B6	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Outpatient Pediatric Pain Rehabilitation CentersPayerPolicy · BCBSMA-158-CBC45555FF	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Monitored Anesthesia Care - MAC prnPayerPolicy · BCBSMA-154-ABFE52DEC3	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Melanoma Vaccines prnPayerPolicy · BCBSMA-453-88193EE69C	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Medicare Part D Coverage Determination Request Form prnPayerPolicy · BCBSMA-442-87C17883C6	New policy
Aug 2, 2026	Blue Cross Blue Shield of Massachusetts	Medicare Advantage Part B Utilization ManagementPayerPolicy · BCBSMA-125-5A21A677FA	New policy