- Curative Payment Policies
Payment Policy Notifications
In accordance with state requirements, notification of payment policy updates will be posted in advance of their effective date. Each notice will clearly identify the effective date of the change. For out-of-network providers, policies are effective on the date they are posted on this website.
- Durable Medical Equipment, Prosthetics and Orthotics (DMEPOS)
- Noticed 8/12/2026 | Effective 11/12/2026
- Publishing a payment policy regarding Durable Medical Equipment, Prosthetics and Orthotics (DMEPOS)
- Obstetrical/Maternity Services
- Notice Date: 10/1/2026 | Effective Date: 1/1/2027
- New payment policy reflecting the CPT® 2027 maternity care coding changes. Replaces the Global Maternity Payment Policy effective 1/1/2027.
Active Payment Policies
- Anesthesia Services
- Bilateral Procedures
- Billing Units for Provider-Administered Drugs Guidance
- Bundled Services and Supplies
- Correct Coding Guidelines
- Diagnosis Code Requirements
- Evaluation and Management Services
- Global Maternity Obstetrical Services
- Global Surgical Package
- Itemized Bill Review Program
- Lactation Services
- Maximum Units
- Multiple Procedure Payment Reduction
- National Drug Code Requirement
- Observation Services
- Place of Service
- Procedure to Modifier Guidelines
- Revenue Codes Requiring CPT-HCPCS Codes, Facility
- Trauma Activation
- Unlisted Unspecified Miscellaneous Not Otherwise Classified Procedures and Services