All PlansCoverageMedium impact
Upcoming Policies effective August 4, 2025
Blue Cross and Blue Shield of Minnesota·Hematology, Oncology, Cardiology +8 more·Medical Policy
Effective date
Aug 4, 2025
We identified it
Jun 20, 2026
Summary
Multiple medical policies are being implemented or revised effective August 4, 2025, including new coverage criteria for donor lymphocyte infusion and hematopoietic cell procedures, updated requirements for implantable cardiac monitors, revised psychological/neuropsychological testing guidelines, and updates to tinnitus treatment coverage. Additionally, marijuana smoking/vaping cessation requirements are being added to multiple surgical policies.
Action Required
By August 4, 2025: Billing team must update prior authorization requirements and medical necessity documentation for donor lymphocyte infusion, hematopoietic cell procedures, implantable cardiac monitors, and psychological testing services. Update encounter forms to ensure providers document all required criteria before submitting claims. Review surgical policy updates to include marijuana cessation requirements in pre-surgical protocols.