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 | Humana | Blepharoplasty, Blepharoptosis Repair and Brow LiftPayerPolicy · HUMANA-BLEPHAROPLASTY-BLEPHAROPTOSIS-REPAIR-AND-BROW-LIFT-MA | Metadata changed |
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| Aug 1, 2026 | Humana | Benign Prostatic Hyperplasia TreatmentsPayerPolicy · HUMANA-BENIGN-PROSTATIC-HYPERPLASIA-TREATMENTS-MA-EFF-20260601 | New policy |
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| Aug 1, 2026 | Humana | Advanced Imaging of the ChestPayerPolicy · HUMANA-ADVANCED-IMAGING-OF-THE-CHEST-MA | New policy |
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| Aug 1, 2026 | Humana | Advanced Imaging of the Abdomen and PelvisPayerPolicy · HUMANA-ADVANCED-IMAGING-OF-THE-ABDOMEN-AND-PELVIS-MA | New policy |
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| Aug 1, 2026 | Humana | Gene Expression Profiling for Cancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-CANCER-INDICATIONS-FL-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Gender Affirming CarePayerPolicy · HUMANA-GENDER-AFFIRMING-CARE-OH-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Colorectal Cancer ScreeningPayerPolicy · HUMANA-COLORECTAL-CANCER-SCREENING-MA | Metadata changed |
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| Aug 1, 2026 | Humana | Ablation (Cancer and Noncancer Indications)PayerPolicy · HUMANA-ABLATION-CANCER-AND-NONCANCER-INDICATIONS-VA-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Ablation (Cancer and Noncancer Indications)PayerPolicy · HUMANA-ABLATION-CANCER-AND-NONCANCER-INDICATIONS-SC-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Ablation (Cancer and Noncancer Indications)PayerPolicy · HUMANA-ABLATION-CANCER-AND-NONCANCER-INDICATIONS-MI-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Ablation (Cancer and Noncancer Indications)PayerPolicy · HUMANA-ABLATION-CANCER-AND-NONCANCER-INDICATIONS-IN-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Ablation (Cancer and Noncancer Indications)PayerPolicy · HUMANA-ABLATION-CANCER-AND-NONCANCER-INDICATIONS-IL-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Breast ProceduresPayerPolicy · HUMANA-BREAST-PROCEDURES-KY-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Ambulatory Cardiac Monitoring DevicesPayerPolicy · HUMANA-AMBULATORY-CARDIAC-MONITORING-DEVICES-MA | Metadata changed |
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| Aug 1, 2026 | Humana | Genetic Testing for Diagnosis of Inherited ConditionsPayerPolicy · HUMANA-GENETIC-TESTING-FOR-DIAGNOSIS-OF-INHERITED-CONDITIONS-MA-EFF-20260701 | New policy |
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| Aug 1, 2026 | Humana | Endobronchial Valve Therapy for EmphysemaPayerPolicy · HUMANA-ENDOBRONCHIAL-VALVE-THERAPY-FOR-EMPHYSEMA-MA | New policy |
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| Aug 1, 2026 | Humana | Coronary CT Angiography, Fractional Flow Reserve with CT and Adjunctive TestingPayerPolicy · HUMANA-CORONARY-CT-ANGIOGRAPHY-FRACTIONAL-FLOW-RESERVE-WITH-CT-AND-ADJUNCTIVE-TESTING-MA | Metadata changed |
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| Aug 1, 2026 | Humana | Computed Tomography Angiography (CTA) of the Chest, Abdomen and PelvisPayerPolicy · HUMANA-COMPUTED-TOMOGRAPHY-ANGIOGRAPHY-CTA-OF-THE-CHEST-ABDOMEN-AND-PELVIS-MA | Metadata changed |
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| Aug 1, 2026 | Humana | Community Behavioral Health Rehabilitative ServicesPayerPolicy · HUMANA-COMMUNITY-BEHAVIORAL-HEALTH-REHABILITATIVE-SERVICES-OH-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Breast ImagingPayerPolicy · HUMANA-BREAST-IMAGING-MA | Metadata changed |
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| Aug 1, 2026 | Humana | Ambulatory Withdrawal ManagementPayerPolicy · HUMANA-AMBULATORY-WITHDRAWAL-MANAGEMENT-OH-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Craniosacral TherapyPayerPolicy · HUMANA-CRANIOSACRAL-THERAPY-OK-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Functional Family TherapyPayerPolicy · HUMANA-FUNCTIONAL-FAMILY-THERAPY-LA-MEDICAID | Metadata changed |
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| Aug 1, 2026 | Humana | Freestanding Psychiatric Hospital for Adults In Lieu of ServicePayerPolicy · HUMANA-FREESTANDING-PSYCHIATRIC-HOSPITAL-FOR-ADULTS-IN-LIEU-OF-SERVICE-LA-MEDICAID | Metadata changed |
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| Aug 1, 2026 | Humana | EPSDT Personal Care ServicesPayerPolicy · HUMANA-EPSDT-PERSONAL-CARE-SERVICES-LA-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Community Brief Crisis SupportPayerPolicy · HUMANA-COMMUNITY-BRIEF-CRISIS-SUPPORT-LA-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Clinical TrialsPayerPolicy · HUMANA-CLINICAL-TRIALS-LA-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Chiropractic - In Lieu of Services (ILOS)PayerPolicy · HUMANA-CHIROPRACTIC-IN-LIEU-OF-SERVICES-ILOS-LA-MEDICAID | Metadata changed |
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| Aug 1, 2026 | Humana | Excessive Skin and Subcutaneous Tissue RemovalPayerPolicy · HUMANA-EXCESSIVE-SKIN-AND-SUBCUTANEOUS-TISSUE-REMOVAL-KY-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Fractional Flow Reserve with Computed TomographyPayerPolicy · HUMANA-FRACTIONAL-FLOW-RESERVE-WITH-COMPUTED-TOMOGRAPHY-OK-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Durable Medical Equipment Maintenance and RepairPayerPolicy · HUMANA-DURABLE-MEDICAL-EQUIPMENT-MAINTENANCE-AND-REPAIR-LA-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Documentation Requirements for Hysterectomy and SterilizationPayerPolicy · HUMANA-DOCUMENTATION-REQUIREMENTS-FOR-HYSTERECTOMY-AND-STERILIZATION-LA-MEDICAID | New policy |
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| Aug 1, 2026 | Humana | Genetic Testing for Diagnosis of Inherited ConditionsPayerPolicy · HUMANA-GENETIC-TESTING-FOR-DIAGNOSIS-OF-INHERITED-CONDITIONS-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Gene Expression Profiling for Noncancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-NONCANCER-INDICATIONS-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Functional Electrical Stimulators (Non-Pain)PayerPolicy · HUMANA-FUNCTIONAL-ELECTRICAL-STIMULATORS-NON-PAIN-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | CryoablationPayerPolicy · HUMANA-CRYOABLATION-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Comprehensive Genomic Profiling and Multigene Panel Testing for Solid TumorsPayerPolicy · HUMANA-COMPREHENSIVE-GENOMIC-PROFILING-AND-MULTIGENE-PANEL-TESTING-FOR-SOLID-TUMORS-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Chimeric Antigen Receptor (CAR) T-cell TherapyPayerPolicy · HUMANA-CHIMERIC-ANTIGEN-RECEPTOR-CAR-T-CELL-THERAPY-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Carpal Tunnel Syndrome Surgical TreatmentsPayerPolicy · HUMANA-CARPAL-TUNNEL-SYNDROME-SURGICAL-TREATMENTS-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Cardioverter Defibrillators/Cardiac Resynchronization TherapyPayerPolicy · HUMANA-CARDIOVERTER-DEFIBRILLATORSCARDIAC-RESYNCHRONIZATION-THERAPY-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Cardiac Electrophysiological Studies and Cardiac Catheter AblationPayerPolicy · HUMANA-CARDIAC-ELECTROPHYSIOLOGICAL-STUDIES-AND-CARDIAC-CATHETER-ABLATION-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Cardiac Catheterization and Coronary AngiographyPayerPolicy · HUMANA-CARDIAC-CATHETERIZATION-AND-CORONARY-ANGIOGRAPHY-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Breast ReconstructionPayerPolicy · HUMANA-BREAST-RECONSTRUCTION-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Breast Excision and MastectomyPayerPolicy · HUMANA-BREAST-EXCISION-AND-MASTECTOMY-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Benign Prostatic Hyperplasia TreatmentsPayerPolicy · HUMANA-BENIGN-PROSTATIC-HYPERPLASIA-TREATMENTS-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | Humana | Amtagvi (lifileucel)PayerPolicy · HUMANA-AMTAGVI-LIFILEUCEL-MA-EFF-20260803 | New policy |
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| Aug 1, 2026 | BCBS Oklahoma | Orthoptics (Vergence/Accommodative Therapy), Visual Exercises or TrainingPayerPolicy · BCBSOK-OTH903.012 | Retired |
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| Aug 1, 2026 | BCBS New Mexico | Orthoptics (Vergence/Accommodative Therapy), Visual Exercises or TrainingPayerPolicy · BCBSNM-OTH903.012 | Retired |
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| Aug 1, 2026 | BCBS Montana | Orthoptics (Vergence/Accommodative Therapy), Visual Exercises or TrainingPayerPolicy · BCBSMT-OTH903.012 | Retired |
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| Aug 1, 2026 | BCBS Illinois | Orthoptics (Vergence/Accommodative Therapy), Visual Exercises or TrainingPayerPolicy · BCBSIL-OTH903.012 | Retired |
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