CareFirst policy updates
Track new and updated CareFirst policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Autism Spectrum Disorders (Virginia Mandate) | CareFirst | Clinical | — | Modified | Mar 1, 2026 |
| Neuropsychological Testing | CareFirst | Clinical | — | Modified | Mar 1, 2026 |
| Oral-Facial Pathology | CareFirst | Clinical | — | Modified | Mar 1, 2026 |
| Habilitative Services (MD and DC Mandates) | CareFirst | Clinical | Physical Medicine, Rehab & Therapies | Modified | Mar 1, 2026 |
| Therapeutic Apheresis | CareFirst | Clinical | Hematology/Oncology | Modified | Feb 1, 2026 |
| Hospice Services | CareFirst | Clinical | Home Health & Hospice | Modified | Feb 1, 2026 |
| Pulsed Electrical Stimulation Device for Osteoarthritis of the Knee | CareFirst | Clinical | Orthopedics/Musculoskeletal | Modified | Feb 1, 2026 |
| Repository Corticotropin Injection (H.P. Acthar Gel) — RETIRED | CareFirst | Clinical | Pharmacy & Specialty Drugs | Modified | Feb 1, 2026 |
| Respiratory Syncytial Virus (RSV) Vaccines for Adults | CareFirst | Clinical | Preventive Services & Screening | Modified | Feb 1, 2026 |
| Stereotactic Radiosurgery Using Gamma Rays | CareFirst | Clinical | Radiation Oncology | Modified | Feb 1, 2026 |
Rows per page:1–10 of 91
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.