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 |
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| Aug 1, 2026 | UnitedHealthcare | Maximum Dosage and Frequency – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-MAXIMUM-DOSAGE-POLICY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Manipulative TherapyPayerPolicy · UHC-COMM-MD-MANIPULATIVE-THERAPY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Mandatory Medicaid Coverage of Routine Patient Costs in Qualifying Clinical TrialsPayerPolicy · UHC-COMM-MD-MANDATORY-MEDICAID-COVERAGE-QUALIFYING-CLINICAL-TRIALS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Lower Extremity ProstheticsPayerPolicy · UHC-COMM-MD-LOWER-EXTREMITY-PROSTHETICS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Lower Extremity Endovascular ProceduresPayerPolicy · UHC-COMM-MD-LOWER-EXTREMITY-VASCULAR-ANGIOGRAPHY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Leqvio (Inclisiran) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-LEQVIO-INCLISIRAN-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Krystexxa (Pegloticase) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KRYSTEXXA-PEGLOTICASE-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Korsuva (Difelikefalin) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KORSUVA-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Kebilidi (Eladocagene Exuparvovec-Tneq) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KEBILIDI-CS | New policy |
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| Aug 1, 2026 | UnitedHealthcare | Itvisma (Onasemnogene Abeparvovec-Brve) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ITVISMA-CS | New policy |
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| Aug 1, 2026 | UnitedHealthcare | Intravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-INTRAVENOUS-ENZYME-REPLACEMENT-THERAPY-GAUCHER-DISEASE-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Intracanalicular and Intravitreal Corticosteroid Implants – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-INTRAVITREAL-CORTICOSTEROID-IMPLANTS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Infliximab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-INFLIXIMAB-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Implantable Loop Recorders and Wearable Heart Rhythm MonitorsPayerPolicy · UHC-COMM-MD-IMPLANTABLE-RECORDERS-WEARABLE-MONITORS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Immune Globulin (IVIG and SCIG) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-IMMUNE-GLOBULIN-IVIG-SCIG-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Ilumya (Tildrakizumab-Asmn) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ILUMYA-TILDRAKIZUMAB-ASMN-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Home Health, Skilled, and Custodial Care ServicesPayerPolicy · UHC-COMM-MD-HOME-HEALTH-CARE-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Hereditary Angioedema (HAE), Treatment and Prophylaxis – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-HEREDITARY-ANGIOEDEMA-TREATMENT-PROPHYLAXIS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Hemgenix (Etranacogene Dezaparvovec-Drlb) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-HEMGENIX-CS | New policy |
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| Aug 1, 2026 | UnitedHealthcare | Hearing Aids and Devices Including Wearable, Bone-Anchored, and Semi-ImplantablePayerPolicy · UHC-COMM-MD-HEARING-AIDS-DEVICES-INCLUDING-WEARABLE-BONE-ANCHORED-SEMI-IMPLANTABLE-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) – Site of Service (for Florida Only)PayerPolicy · UHC-COMM-MD-HABILITATION-REHABILITATION-THERAPY-SOS-FL-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech)PayerPolicy · UHC-COMM-MD-HABILITATION-REHABILITATION-THERAPY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) (for Florida Only)PayerPolicy · UHC-COMM-MD-HABILITATION-REHABILITATION-THERAPY-FL-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Gynecomastia SurgeryPayerPolicy · UHC-COMM-MD-GYNECOMASTIA-TREATMENT-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Gynecomastia Surgery (for Florida Only)PayerPolicy · UHC-COMM-MD-GYNECOMASTIA-TREATMENT-FL-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Gonadotropin Releasing Hormone Analogs – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GONADOTROPIN-RELEASING-HORMONE-ANALOGS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Genetic Testing for Hereditary CancerPayerPolicy · UHC-COMM-MD-GENETIC-TESTING-HEREDITARY-CANCER-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Gender Dysphoria TreatmentPayerPolicy · UHC-COMM-MD-GENDER-DYSPHORIA-TREATMENT-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Gastrointestinal Disorders Diagnostic ProceduresPayerPolicy · UHC-COMM-MD-GASTROINTESTINAL-MOTILITY-DISORDERS-DIAGNOSIS-TREATMENT-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | FDA Cleared or Approved Companion Diagnostic TestingPayerPolicy · UHC-COMM-MD-FDA-COMPANION-DIAGNOSTIC-TESTING-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Epidural Steroid Injections for Spinal PainPayerPolicy · UHC-COMM-MD-EPIDURAL-STEROID-INJECTIONS-SPINAL-PAIN-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Entyvio (Vedolizumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ENTYVIO-VEDOLIZUMAB-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Encelto (Revakinagene Taroretcel-Lwey) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ENCELTO-CS | New policy |
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| Aug 1, 2026 | UnitedHealthcare | Denied Drug Codes – Pharmacy Benefit Drugs (for Arizona Only) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-DENIED-DRUG-CODES-PHARMACY-BENEFIT-DRUGS-POLICY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Cosmetic and Reconstructive ProceduresPayerPolicy · UHC-COMM-MD-COSMETIC-AND-RECONSTRUCTIVE-PROCEDURES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Cosentyx (Secukinumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-COSENTYX-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Continuous Glucose Monitoring and Insulin Delivery for Managing DiabetesPayerPolicy · UHC-COMM-MD-CONTINUOUS-GLUCOSE-MONITORING-INSULIN-DELIVERY-MANAGING-DIABETES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Complement Pathway Inhibitors – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-COMPLEMENT-INHIBITORS-CS | New policy |
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| Aug 1, 2026 | UnitedHealthcare | Cognitive Rehabilitation and Coma StimulationPayerPolicy · UHC-COMM-MD-COGNITIVE-REHABILITATION-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Cochlear ImplantsPayerPolicy · UHC-COMM-MD-COCHLEAR-IMPLANTS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Chromosome Microarray Testing (Non-Oncology Conditions)PayerPolicy · UHC-COMM-MD-CHROMOSOME-MICROARRAY-TESTING-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Chemotherapy Observation or Inpatient HospitalizationPayerPolicy · UHC-COMM-MD-CHEMO-OBSERVATION-INPATIENT-HOSPITALIZATION-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Chelation TherapyPayerPolicy · UHC-COMM-MD-CHELATION-THERAPY-NON-OVERLOAD-CONDITIONS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Cell-Free Fetal DNA TestingPayerPolicy · UHC-COMM-MD-CELL-FREE-FETAL-DNA-TESTING-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Catheter Ablation for Atrial FibrillationPayerPolicy · UHC-COMM-MD-CATHETER-ABLATION-ATRIAL-FIBRILLATION-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Carrier Testing Panels for Genetic DiseasesPayerPolicy · UHC-COMM-MD-CARRIER-TESTING-GENETIC-DISEASES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Briumvi (Ublituximab-Xiiy) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-BRIUMVI-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Breast Reduction SurgeryPayerPolicy · UHC-COMM-MD-BREAST-REDUCTION-SURGERY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Beds and MattressesPayerPolicy · UHC-COMM-MD-BEDS-MATTRESSES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Bariatric SurgeryPayerPolicy · UHC-COMM-MD-BARIATRIC-SURGERY-CS | Metadata changed |
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