Baylor Scott & White Health Plan policy updates
Track new and updated Baylor Scott & White Health Plan policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Atidarsagene autotemcel (Lenmeldy) — Medical Coverage Policy | Baylor Scott & White Health Plan | Clinical | Hematology/Oncology | Modified | Aug 1, 2026 |
| Vitamin Assays | Baylor Scott & White Health Plan | Clinical | Laboratory/Pathology | Modified | Aug 1, 2026 |
| Inhaled Nitric Oxide (iNO) in Preterm/Neonatal Infants — Medical Coverage Policy | Baylor Scott & White Health Plan | Clinical | Pulmonology | Modified | Jul 1, 2026 |
| Lovotibeglogene autotemcel (Lyfgenia) — Medical Coverage Policy | Baylor Scott & White Health Plan | Clinical | Genetic & Molecular Testing | Modified | Jul 1, 2026 |
| Step Therapy Policy - Commercial plans | Baylor Scott & White Health Plan | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 1, 2026 |
| Step Therapy Policy - Medicare Part B | Baylor Scott & White Health Plan | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 1, 2026 |
| Autism Spectrum Disorder (ASD) — Medical Coverage Policy | Baylor Scott & White Health Plan | Clinical | Psychiatry/Behavioral Health | Modified | Jul 1, 2026 |
| Psychological Testing | Baylor Scott & White Health Plan | Clinical | Psychiatry/Behavioral Health | Modified | Jul 1, 2026 |
| JW/JZ drug wastage modifiers for drugs & biologicals | Baylor Scott & White Health Plan | Reimbursement | — | Modified | Jul 1, 2026 |
| Transoral Fundoplication (TIF 2.0) — Medical Necessity and Coverage Criteria | Baylor Scott & White Health Plan | Reimbursement | Gastroenterology | Modified | Jul 1, 2026 |
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.
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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.