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 5/28/26 | Effective 8/28/26
- Publishing a payment policy regarding Durable Medical Equipment, Prosthetics and Orthotics (DMEPOS)
- National Drug Code Requirement
- Noticed 5/28/26 | Effective 8/28/26
- Publishing a new policy requiring the submission of the National Drug Code for drugs and biologicals.
- Bundled Services and Supplies
- Noticed 6/3/26 | Efffective 9/1/26
- Publishing a new policy regarding services and supplies not reimbursed separately.
- Observation Services
- Noticed 6/30/2026 | Effective 9/28/2026
- Publishing a new policy regarding observation services.
Active Payment Policies
- Anesthesia Services
- Bilateral Procedures
- Billing Units for Provider-Administered Drugs Guidance
- Correct Coding Guidelines
- Diagnosis Code Requirements
- Evaluation and Management Services
- Global Maternity Obstetrical Services
- Global Surgical Package
- Itemized Bill Review Program
- Maximum Units
- 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