HealthPartners policy updates
Track new and updated HealthPartners policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| 2026 Medicare Part D Step Therapy Requirements | HealthPartners | Clinical | Pharmacy & Specialty Drugs | Modified | Aug 1, 2026 |
| Medicare Part B Drugs Requiring Step Therapy | HealthPartners | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 1, 2026 |
| 2026 Medicare Part D Prior Authorization Requirements — Specialty & Part D Drugs | HealthPartners | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| 2026 Medicare Part D Step Therapy Requirements | HealthPartners | Reimbursement | — | Modified | Jun 1, 2026 |
| 2026 Medicare Part D Step Therapy Requirements | HealthPartners | Clinical | Pharmacy & Specialty Drugs | Modified | May 1, 2026 |
| HealthPartners Formulary — Drug List and Coverage Rules (Pharmacy & Specialty Drugs) | HealthPartners | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2026 |
| HealthPartners HSA Plus 2026 Formulary (drug list) | HealthPartners | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2026 |
| HSA Plus 2026 Formulary (Drug List) | HealthPartners | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2026 |
| 2026 Medicare Part D Prior Authorization Requirements — Part D formulary coverage criteria | HealthPartners | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2026 |
| 2026 Medicare Part D Step Therapy Requirements | HealthPartners | Reimbursement | — | Modified | Apr 1, 2026 |
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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.