CommercialCoverageMedium impact
12.00.05f, Prescription Digital Therapeutics and Mobile-Based Health Management Applications
Independence Blue Cross·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
A new policy for Prescription Digital Therapeutics and Mobile-Based Health Management Applications has been posted, effective April 1, 2026. This policy will establish coverage criteria and billing guidelines for digital health apps and therapeutic software prescribed by healthcare providers.
Action Required
Before April 1, 2026: Billing team should monitor for the full policy details to be released. Review policy content when available to understand coverage criteria, billing procedures, and documentation requirements for prescription digital therapeutics. Update billing workflows and staff training as needed once specific requirements are published.