Live policy feed
Track new and updated payer policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Behavioral Health Services Act fund allocations and governance | California Department Of Health Care Services | Administrative | — | Modified | Jul 1, 2028 |
| Enhanced behavioral health value-based reimbursement criteria | UnitedHealthcare | Reimbursement | — | Modified | Jul 1, 2027 |
| Sequestration Policy | Care Continuum | Reimbursement | — | Modified | Jun 2, 2027 |
| Community-Based Mobile Crisis Response Services | California Department Of Health Care Services | Clinical | Psychiatry/Behavioral Health | Modified | Apr 1, 2027 |
| Lesser of Provider Reimbursement Policy | Care Continuum | Reimbursement | — | Modified | Mar 23, 2027 |
| Breast Reduction (Mammoplasty) Surgery | Kaiser Permanente | Clinical | Plastic/Reconstructive Surgery | Modified | Feb 1, 2027 |
| Adult Foster Care | Fallon Community Health Plan Inc | Clinical | Home Health & Hospice | Modified | Jan 27, 2027 |
| CalAIM Renewal and 2027 Trailer Bill Provisions | California Department Of Health Care Services | Administrative | — | Modified | Jan 1, 2027 |
| Medi‑Cal eligibility redetermination and community engagement requirements | California Department Of Health Care Services | Administrative | — | Modified | Jan 1, 2027 |
| Reinstate Medi-Cal Asset Limit (Proposed Trailer Bill Amendments) | California Department Of Health Care Services | Administrative | — | Modified | Jan 1, 2027 |
About
About the live policy feed
The live policy feed tracks new and revised medical policies from U.S. health insurers in one place. Each row links to a structured summary of the policy, including the payer, policy type, affected specialty, and the date the change takes effect. Instead of checking dozens of payer websites, billing and revenue cycle teams can scan a single feed and click through to the changes that affect their claims.
Every entry comes from documents the payers publish themselves. We monitor payer policy libraries daily for new medical policies, prior authorization changes, reimbursement policy updates, and provider bulletins, then structure each document into a readable page with its effective date and source. You can read more about where our data comes from and how we process policy documents.
The feed pairs well with the rest of OpenPayer. If a policy references a procedure, look it up with the billing code lookup. For payer-specific rules, the prior authorization and coverage criteria tools break down requirements by payer, and timely filing covers submission deadlines.
FAQ
Live policy feed FAQ
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.