Skip to content
healthcare.dev
Get a free key

Medicare Advantage internal coverage criteria (plans' public postings) 2026-10-25.2

0 added, 160 changed, 51 retired. Effective 2026-10-25; published 2026-10-26, 9 h after the source.

Changed records

RecordChange
humana:advanced-imaging-of-the-abdomen-and-pelvischanged
humana:advanced-imaging-of-the-chestchanged
humana:advanced-imaging-of-the-head-and-neckchanged
humana:advanced-imaging-of-the-spinechanged
humana:ambulatory-cardiac-monitoring-deviceschanged
humana:amtagvi-lifileucelchanged
humana:artificial-intervertebral-disc-replacementchanged
humana:autonomic-nerve-function-testingchanged
humana:bariatric-surgerychanged
humana:benign-prostatic-hyperplasia-treatmentschanged
humana:blepharoplasty-blepharoptosis-repair-and-brow-liftchanged
humana:bone-graft-substituteschanged
humana:brachytherapychanged
humana:brain-functional-magnetic-resonance-imagingchanged
humana:brain-stimulation-treatmentschanged
humana:breast-excision-and-mastectomychanged
humana:breast-imagingchanged
humana:breast-reconstructionchanged
humana:capsule-endoscopychanged
humana:cardiac-catheterization-and-coronary-angiographychanged
humana:cardiac-computed-tomography-ctchanged
humana:cardiac-electrophysiological-studies-and-cardiac-catheter-ablationchanged
humana:cardiac-magnetic-resonance-imagingchanged
humana:cardiac-pacemakerschanged
humana:cardiovascular-nuclear-imaging-and-stress-testingchanged
humana:cardioverter-defibrillators-cardiac-resynchronization-therapychanged
humana:carotid-revascularizationchanged
humana:carpal-tunnel-syndrome-surgical-treatmentschanged
humana:chimeric-antigen-receptor-car-t-cell-therapychanged
humana:code-compendium-musculoskeletal-and-neurologicchanged
humana:cold-and-heat-therapy-deviceschanged
humana:colorectal-cancer-screeningchanged
humana:comprehensive-genomic-profiling-and-multigene-panel-testing-for-solid-tumorschanged
humana:computed-tomography-angiography-cta-of-the-abdominal-aortachanged
humana:computed-tomography-angiography-cta-of-the-chest-abdomen-and-pelvischanged
humana:computer-assisted-surgical-navigation-for-musculoskeletal-procedureschanged
humana:coronary-ct-angiography-fractional-flow-reserve-with-ct-and-adjunctive-testingchanged
humana:cosmetic-and-reconstructive-surgerychanged
humana:cranial-electrical-stimulationchanged
humana:cryoablationchanged
humana:diagnostic-and-therapeutic-esophagogastroduodenoscopy-or-esophagoscopychanged
humana:dynamic-spinal-stabilization-and-vertebral-body-tethering-for-spinal-deformitieschanged
humana:dysphagia-imaging-evaluationchanged
humana:elective-aorta-and-iliac-artery-aneurysm-repairchanged
humana:endobronchial-valve-therapy-for-emphysemachanged
humana:facility-based-sleep-studieschanged
humana:foot-surgical-procedureschanged
humana:functional-electrical-stimulators-non-painchanged
humana:gastric-pacing-and-gastric-electrical-stimulationchanged
humana:gender-affirmation-surgerychanged
humana:gene-expression-profiling-for-cancer-indicationschanged
humana:gene-expression-profiling-for-noncancer-indicationschanged
humana:gene-therapy-treatments-for-beta-thalassemiachanged
humana:gene-therapy-treatments-for-sickle-cell-diseasechanged
humana:genetic-and-biomarker-testing-for-neurodegenerative-diseasechanged
humana:genetic-and-coagulation-testing-for-noncancer-blood-disorderschanged
humana:genetic-testing-for-diagnosis-of-inherited-conditionschanged
humana:genetic-testing-for-hematologic-malignancies-and-suspected-myeloid-disorderschanged
humana:genetic-testing-for-hereditary-ataxiaschanged
humana:genetic-testing-for-hereditary-breast-ovarian-pancreatic-and-prostate-cancerchanged
humana:genetic-testing-for-hereditary-cancerchanged
humana:genetic-testing-for-hereditary-cardiovascular-diseasechanged
humana:genetic-testing-for-hereditary-colorectal-and-uterine-cancerchanged
humana:glaucoma-surgical-treatmentschanged
humana:headache-and-occipital-neuralgia-treatmentschanged
humana:hematopoietic-stem-cell-transplantationchanged
humana:hip-arthroplastychanged
humana:hip-arthroscopychanged
humana:home-mechanical-ventilatorschanged
humana:hyperbaric-oxygen-therapy-topical-oxygen-therapychanged
humana:hyperthermia-and-ultrasound-based-ablative-cancer-treatmentschanged
humana:immersion-therapy-mattress-bedchanged
humana:implantable-and-external-infusion-pumps-for-pain-or-spasticitychanged
humana:injections-for-pain-conditionschanged
humana:inpatient-and-long-term-acute-care-hospital-serviceschanged
humana:intensity-modulated-radiation-therapychanged
humana:interspinous-process-decompression-spacerschanged
humana:irreversible-electroporationchanged
humana:kebilidi-eladocagene-exuparvovec-tneqchanged
humana:knee-arthroplastychanged
humana:knee-arthroscopychanged
humana:left-atrial-appendage-and-cardiac-structural-defect-closurechanged
humana:lenmeldy-atidarsagene-autotemcelchanged
humana:liquid-biopsychanged
humana:low-frequency-noncontact-nonthermal-ultrasound-for-wound-carechanged
humana:lung-biopsy-and-wedge-resection-procedureschanged
humana:lung-transplantchanged
humana:lymphedema-diagnosis-and-treatmentchanged
humana:magnetic-resonance-angiography-mra-of-the-chest-abdomen-and-pelvischanged
humana:microwave-thermotherapychanged
humana:minimal-residual-disease-testingchanged
humana:molecular-biomarkers-for-prostate-cancer-risk-stratificationchanged
humana:molecular-diagnostic-assays-and-breath-testing-for-transplant-rejectionchanged
humana:molecular-markers-in-fine-needle-aspirates-of-thyroid-noduleschanged
humana:multi-function-oscillation-lung-expansion-therapychanged
humana:multianalyte-assays-with-algorithmic-analyses-for-cancer-indicationschanged
humana:multiplex-pathogen-identification-panels-for-infectious-diseasechanged
humana:ocular-surface-disease-diagnosis-and-treatmentschanged
humana:negative-pressure-wound-therapychanged
humana:nerve-stimulation-for-fecal-incontinencechanged

Next 100 records

Records are keyed as the API keys them (codes without the dot). JSON: GET /v1/changes?dataset=ma-internal-criteria&version=2026-10-25.2 (Builder plan and up).