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Blue Cross and Blue Shield of MinnesotaAll Plans · Coverage · Medical Policy · MN · Cardiology, Cardiothoracic Surgery, Hematology +1 moreMedium impact

Upcoming Policies effective December 1, 2025

Act
by Dec 1, 2025
Effective date
Dec 1, 2025
Identified
Jun 20, 2026

Summary

Blue Cross MN has updated three medical policies effective December 1, 2025: transcatheter tricuspid valve procedures are now considered experimental/investigative, revised general medical necessity criteria for technologies without specific policies, and updated coverage criteria for hematopoietic stem cell transplantation in acute lymphoblastic leukemia patients.

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What to do

by Dec 1, 2025 · 3 steps
01Review and update prior authorization processes for transcatheter tricuspid valve procedures (now experimental/investigative) and hematopoietic stem cell transplantation claims.
02Clinical team must ensure all medical necessity documentation meets the revised criteria outlined in policy XI-02.
03Update encounter forms and billing system notes to reflect new experimental status for tricuspid valve procedures and updated ALL treatment criteria.

Original notice

Upcoming Policies effective December 1, 2025
bluecrossmn.widen.net · Always check the source before changing claims.
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Related changes

See all Blue Cross and Blue Shield of Minnesota changes →
Upcoming Policies effective December 1, 2026MediumEffective Dec 1, 2026 · Medical PolicyUpcoming Policies effective December 1, 2026HighEffective Dec 1, 2026 · Medical PolicyBrowse every Blue Cross and Blue Shield of Minnesota change in the policy list

Related policy hubs

Blue Cross and Blue Shield of Minnesota policiesMN policy changesCardiologyCardiothoracic SurgeryHematologyOncology

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