Health Care Access Bureau and Bureau of Managed Care, Division of Insurance policy updates
Track new and updated Health Care Access Bureau and Bureau of Managed Care, Division of Insurance policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Deviated Case Rates for Credit Life and Credit Accident and Health Insurance Sold by Motor Vehicle Dealers | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Reimbursement | — | Modified | Jan 1, 2026 |
| Requirements for 2026 Licensure of Pharmacy Benefit Managers | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Administrative | — | Modified | Sep 18, 2025 |
| Coverage for Vaccines | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Clinical | Preventive Services & Screening | Modified | Mar 9, 2025 |
| Inducements, Rebates and Affiliated Entities | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Administrative | — | Modified | May 24, 2024 |
| Medical Malpractice Coverage Protections for Providers of Reproductive and Gender‑Affirming Care | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Administrative | — | Modified | Nov 8, 2022 |
| Community-Based Emergency Behavioral Health Care — Coverage Criteria | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Clinical | Psychiatry/Behavioral Health | Modified | Nov 8, 2022 |
| Required Coverage for Treatment of PANDAS and PANS | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Clinical | Psychiatry/Behavioral Health | Modified | Jan 1, 2022 |
| Continued Access to Telehealth Services in 2021 — Reimbursement for Health Services Provided via Telehealth | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Reimbursement | — | Modified | Sep 7, 2021 |
| Managed Care Practices and Continued Access to Telehealth Services | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Administrative | — | Modified | Apr 9, 2021 |
| Additional Guidance Addressing COVID-19 (Coronavirus) Vaccines | Health Care Access Bureau And Bureau Of Managed Care, Division Of Insurance | Reimbursement | — | Modified | Jan 21, 2021 |
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.