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Fast Facts Newsletter - May 2026

HealthPartners·Oncology, Hematology, Endocrinology +2 more·Pharmacy
Effective date
Jul 1, 2026
We identified it
Jun 19, 2026
Days to comply
11 days

Summary

HealthPartners updated multiple medical policy coverage criteria effective July 1, 2026, including new coverage for specialty testing in urology, expanded endocrinology testing coverage, and revised oncology testing criteria. The policy also includes administrative updates for provider directory information and cultural competency requirements.

Action Required

Before Jul 1, 2026
By July 1, 2026: Billing team must review and update prior authorization requirements for oncology algorithmic assays, specialty testing in endocrinology, urology, toxicology, gastroenterology, and hematologic malignancy diagnostics. Update billing system to reflect new coverage criteria for Barrett's esophagus testing, thyroid function tests, liver function panels, and cancer screening tests. Providers must complete cultural competency questionnaire and update provider directory information through Provider Data Profiles application on HealthPartners portal.