johns_hopkins_health_plans policy updates
Track new and updated johns_hopkins_health_plans policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Anesthesia for Dental Care | Johns Hopkins Health Plans | Clinical | Dental/Oral & Maxillofacial | Modified | Jul 1, 2026 |
| Pediatric Feeding Programs (Pediatric Intensive Feeding Programs) | Johns Hopkins Health Plans | Clinical | Pediatrics/Neonatology | Modified | Jul 1, 2026 |
| Remote Patient Monitoring (RPM) — Coverage Criteria | Johns Hopkins Health Plans | Clinical | Telehealth & Remote Monitoring | Modified | Jul 1, 2026 |
| Prostate Artery Embolization | Johns Hopkins Health Plans | Clinical | Urology | Modified | Jul 1, 2026 |
| Cell and Gene Therapy Access Model - PPMCO | Johns Hopkins Health Plans | Clinical | Hematology/Oncology | Modified | Jun 1, 2026 |
| Select Endoscopic Procedures (TORe, ESD and related) | Johns Hopkins Health Plans | Clinical | Gastroenterology | Modified | Apr 1, 2026 |
| Gender‑Affirming Treatment & Procedures - EHP | Johns Hopkins Health Plans | Clinical | Gender-Affirming Care | Modified | Apr 1, 2026 |
| Prenatal Obstetrical Ultrasound | Johns Hopkins Health Plans | Clinical | Obstetrics/Gynecology | Modified | Apr 1, 2026 |
| Cell and Gene Therapy | Johns Hopkins Health Plans | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2026 |
| Cosmetic and Reconstructive Services (CMS03.12) | Johns Hopkins Health Plans | Clinical | Plastic/Reconstructive Surgery | Modified | Apr 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.