Psychiatry/Behavioral Health policy updates
Track new and updated Psychiatry/Behavioral Health policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Medical Treatments of Autism Spectrum Disorders | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | Jul 1, 2026 |
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | Jul 1, 2026 |
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2026 |
| Medical Treatments of Autism Spectrum Disorders | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | Dec 1, 2025 |
| Genetic Testing for Diagnosis and Management of Mental Health | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | Jul 1, 2024 |
| Esketamine (Spravato) | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2021 |
| Applied Behavior Analysis (ABA) Preauthorization Request Form | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | — |
| Repetitive Transcranial Magnetic Stimulation (rTMS) Request Form and Clinical Criteria | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | — |
| Medications Used Under Heavy Sedation or General Anesthesia for Opioid Use Disorder | Capital Bluecross | Clinical | Psychiatry/Behavioral Health | Modified | — |
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.