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 Michigan and Blue Care Network	CHARGED-PARTICLE (PROTON OR HELIUM ION) RADIATION THERAPY FOR NEOPLASTIC CONDITIONSPayerPolicy · BCBSM-2021038	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INFLUENZA VIRUS VACCINE, PANDEMIC FORMULATIONPayerPolicy · BCBSM-2163320	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AMBULATORY EVENT MONITORS AND MOBILE CARDIAC OUTPATIENT TELEMETRY - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193010	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR PRADER-WILLI AND ANGELMAN SYNDROMES (CHROMOSOME 15 ABNORMALITIES)PayerPolicy · BCBSM-2040712	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCBSM ONLY: Provider Self Treatment and Treatment of Immediate Family MembersPayerPolicy · BCBSM-87535	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION FOR THE MANAGEMENT OF ATTENTION DEFICIT HYPERACTIVITY DISORDERPayerPolicy · BCBSM-2174289	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCBSM ONLY: Clinical Supervision of Non-Physician Mental Health ProvidersPayerPolicy · BCBSM-86893	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DOPAMINE TRANSPORTER IMAGING WITH SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (DATSCAN)PayerPolicy · BCBSM-2021342	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ULTRASONOGRAPHIC MEASUREMENT OF CAROTID INTIMA-MEDIAL THICKNESS AS AN ASSESSMENT OF SUBCLINICAL ATHEROSCLEROSISPayerPolicy · BCBSM-104442	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ONCOPROTEIN DES-GAMMA-CARBOXY PROTHROMBIN (DCP) IMMUNOASSAY - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194062	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR LYNCH SYNDROME AND OTHER INHERITED COLON CANCER SYNDROMESPayerPolicy · BCBSM-76833	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENE EXPRESSION TESTING IN THE EVALUATION OF PATIENTS WITH STABLE ISCHEMIC HEART DISEASEPayerPolicy · BCBSM-2019292	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AIM MEDICAL POLICY - ERIBULIN MESYLATE: HALAVEN (J9179)PayerPolicy · BCBSM-2070003	New policy
Aug 2, 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	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DONOR LYMPHOCYTE INFUSION FOR MALIGNANCIES TREATED WITH AN ALLOGENEIC HEMATOPOIETIC CELL TRANSPLANTPayerPolicy · BCBSM-2027398	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCN ONLY - HOME HEALTH CAREPayerPolicy · BCBSM-2008104	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BALLOON OSTIAL DILATION FOR TREATMENT OF CHRONIC AND RECURRENT RHINOSINUSITIS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2191554	New policy
Aug 2, 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	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR SPECIFIED CONDITIONS USING TESTING PANELS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198903	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	NONTHERMAL HISTOTRIPSY FOR PRIMARY AND METASTATIC LIVER TUMORS (I.E., EDISON SYSTEM)PayerPolicy · BCBSM-2199324	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	POSITRON EMISSION TOMOGRAPHY (PET) SCANS FOR CARDIAC APPLICATIONS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197633	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CORNEAL LIQUID BANDAGE LENS FOR CORNEAL EPITHELIAL DEFECTS/SCLERAL LENSESPayerPolicy · BCBSM-2022622	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TOTAL ARTIFICIAL HEARTS AND IMPLANTABLE VENTRICULAR ASSIST DEVICES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197267	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LUMBAR TRACTION DEVICES FOR THE TREATMENT OF LOW BACK PAIN - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196217	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTRAVITREAL INJECTIONS FOR RETINAL CONDITIONS (retired as of 04/06/2023 ML)PayerPolicy · BCBSM-2080863	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	STEM CELL THERAPY IN THE TREATMENT OF PERIPHERAL ARTERY DISEASE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198290	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DIGITAL HEALTH TECHNOLOGIES FOR ATTENTION DEFICIT/HYPERACTIVITY DISORDER - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192631	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING- MOLECULAR MARKERS IN FINE NEEDLE ASPIRATES (FNA) OF THE THYROIDPayerPolicy · BCBSM-2041154	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	COMPUTER-AIDED EVALUATION OF MALIGNANCY WITH MAGNETIC RESONANCE IMAGING OF THE BREAST(policy RETIRED as of 05/01/2021 per medical affairs 4/13/2021 policy release)PayerPolicy · BCBSM-2000284	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MAGNETIC RESONANCE-GUIDED FOCUSED ULTRASOUND (MRGFUS) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196221	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTERSPINOUS/INTERLAMINAR STABILIZATION/DISTRACTION DEVICES (SPACERS) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193859	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCN ONLY - PATIENT LIFTS (HOYER LIFT, ELECTRIC LIFT)PayerPolicy · BCBSM-2008388	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENDOVASCULAR THERAPIES FOR EXTRACRANIAL VERTEBRAL ARTERY DISEASE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196072	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR MYOTONIC DYSTROPHY (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209356-875B6C6DF8	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR ALZHEIMER’S DISEASE (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209372-BDB67D20A6	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - MALIGNANT GLIOMAS INCLUDING MGMT PROMOTER METHYLATIONPayerPolicy · BCBSM-2037293	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MAGNETIC RESONANCE ANGIOGRAPHY AND MAGNETIC RESONANCE VENOGRAPHY - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196218	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	RECONSTRUCTIVE BREAST SURGERY AND MANAGEMENT OF BREAST IMPLANTS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197634	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	METHOTREXATE (MTX) POLYGLUTAMATE TESTING TO MEASURE RESPONSE TO METHOTREXATE THERAPYPayerPolicy · BCBSM-2005167	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTRAVENOUS IMMUNE GLOBULIN (IVIG) FOR RECURRENT EARLY PREGNANCY LOSSPayerPolicy · BCBSM-84614	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CARDIAC HEMODYNAMIC MONITORING FOR THE MANAGEMENT OF HEART FAILURE IN THE OUTPATIENT SETTINGPayerPolicy · BCBSM-2039353	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CERLIPONASE ALFA: BRINEURA (J0567)PayerPolicy · BCBSM-2077748	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MICROPROCESSOR-CONTROLLED & POWER PROSTHESES AND ORTHOSES FOR THE LOWER LIMB - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197831	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DIGITAL BREAST TOMOSYNTHESIS (3-D MAMMOGRAPHY) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195977	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	THERAPEUTIC LIGHT BOX FOR THE TREATMENT OF MAJOR DEPRESSION WITH SEASONAL PATTERNPayerPolicy · BCBSM-79601	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ORTHOPTIC TRAINING/VISION THERAPY FOR THE TREATMENT OF VISION OR LEARNING DISABILITIESPayerPolicy · BCBSM-77284	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PROSTATIC URETHRAL LIFT PROCEDURE FOR THE TREATMENT OF BPH - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192503	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LOW-DOSE RADIOFREQUENCY FOR NASAL VALVE REMODELING - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193865	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CRYOSURGICAL ABLATION OF PRIMARY OR METASTATIC LIVER TUMORS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192628	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MYOELECTRIC PROSTHETIC AND ORTHOTIC COMPONENTS FOR THE UPPER LIMB - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197833	New policy