Provider Connection
Medical Policy Updates – February Newsletter 2026
Provider Connection
Medical Policy Updates – February Newsletter 2026
University of Utah Health Plans uses medical policies as guidelines for coverage determinations in accordance with the member’s benefits. Quarterly notice of recently approved and revised medical policies is provided in Provider Connection for your convenience. The Medical Policy Updates section of this newsletter does not indicate that coverage is provided for the procedures listed.
| NEW POLICIES | |||
|---|---|---|---|
| Policy Number | Policy Name | Effective Date | Summary |
| MP-086 (New) | Specialty Enclosure Bed Systems (Home use) | 10/31/2025 | Commercial Non-Coverage Policy: U of U Health Plans considers specialty enclosure bed systems (e.g., Cubby Bed, Sleep Safe Bed, Abrams Safety Sleeper, Courtney Bed, Hannah Bed, Protective Canopy Systems e.g., Posey, Pediatric Enclosure Beds) as safety devices and therefore are not covered. |
| REVISED POLICIES | |||
|---|---|---|---|
| Policy Number | Policy Name | Effective Date | Summary |
| MP-021 (Revised) | Vertical Expandable Prosthetic Titanium Rib for Spinal Disorders | 12/18/2025 | Commercial: Updated policy to clarify indications for adjustable spinal implantation systems coverage for treatment of thoracic insufficiency syndrome (TIS) in skeletally immature patients. See policy for further information. |
| MP-061 (Revised) | Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation | 11/21/2025 | Commercial: Updated policy to outline criteria for coverage if peripheral nerve stimulation (PNS) is a covered benefit. Clarified peripheral nerve field stimulation (PNFS) is not covered as there is insufficient evidence to support clinical effectiveness. See policy for further information. |
| MP-024 (Revised) | Corneal Cross-Linking | 11/01/2025 | Commercial: Reviewed the corneal cross-linking policy and made a minor update by removing language related to prior vision correction surgery. See policy for further information. |
| ARCHIVED POLICIES | |||
|---|---|---|---|
| Policy Number | Policy Name | Effective Date | |
| MP-007 (Archived, managed under pharmacy benefit) | Ambulatory Insulin Pumps and Closed Loop Insulin Delivery System | 10/16/2024 | |
| MP-022 (Archived, using InterQual criteria) | Breast Tomosynthesis | 10/16/2025 | |
| MP-019 (Archived) | Aqueous Shunts and Stents for Glaucoma | 11/25/2025 | |
| MP-051 (Archived) | Electroretinopathy | 11/25/2025 | |
| MP-006 (Archived) | DNA Analysis of Stool for Colon Cancer Screening (Cologuard®) | 11/25/2025 | |
| MP-011 (Archived) | Benign Skin Lesion Removal | 11/25/2025 | |
| MP-001 (Archived, using InterQual criteria) | Transcranial Magnetic Stimulation-Repetitive (rTMS) | 12/22/2025 | |
| MP-023 (Archived, services as defined in plan document) | Chiropractic Care | 12/22/2025 | |
| MP-073 (Archived) | Prostatic Urethral Lift (UroLift®) for Benign Prostatic Hypertrophy | 12/22/2025 | |