Authorization and Medical Policy Updates | Providers

Please see the following recent updates for our authorizations and medical policies. You can access all current Sentara Health Plans behavioral health, durable medical equipment (DME), imaging, medical, obstetrics, pharmacy, and surgical policies on our medical policies page.

Authorization Updates - Effective February 1, 2027
PDF, 128 KB Last Updated: 10/20/2026
PDF, 128 KB Last Updated: 10/20/2026
Medical Policy Updates - January 2027
PDF, 253 KB Last Updated: 10/13/2026
PDF, 253 KB Last Updated: 10/13/2026
Authorization Updates - Effective January 1, 2027
PDF, 134 KB Last Updated: 10/09/2026
PDF, 134 KB Last Updated: 10/09/2026
Authorization Updates Changes - October 1, 2026
PDF, 60 KB Last Updated: 10/09/2026
PDF, 60 KB Last Updated: 10/09/2026
Authorization Updates Changes - July 1, 2026
PDF, 75 KB Last Updated: 10/09/2026
PDF, 75 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective December 1, 2026
PDF, 290 KB Last Updated: 10/09/2026
PDF, 290 KB Last Updated: 10/09/2026
Authorization Updates - Effective October 1, 2026
PDF, 122 KB Last Updated: 10/09/2026
PDF, 122 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective November 1, 2026
PDF, 326 KB Last Updated: 10/09/2026
PDF, 326 KB Last Updated: 10/09/2026
Authorization Updates - Effective September 1, 2026
PDF, 97 KB Last Updated: 10/09/2026
PDF, 97 KB Last Updated: 10/09/2026
Authorization Updates - Effective November 1, 2026
PDF, 85 KB Last Updated: 10/09/2026
PDF, 85 KB Last Updated: 10/09/2026
Authorization Updates - Effective July 1, 2026
PDF, 92 KB Last Updated: 10/09/2026
PDF, 92 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective October 1, 2026
PDF, 124 KB Last Updated: 10/09/2026
PDF, 124 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective October 1, 2026
PDF, 283 KB Last Updated: 10/09/2026
PDF, 283 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective September 1, 2026
PDF, 282 KB Last Updated: 10/09/2026
PDF, 282 KB Last Updated: 10/09/2026
Spring 2026 Medical and Clinical Policy Updates
PDF, 216 KB Last Updated: 10/09/2026
PDF, 216 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective August 1, 2026
PDF, 432 KB Last Updated: 10/09/2026
PDF, 432 KB Last Updated: 10/09/2026
Medical Code 64451 Change - Effective June 1, 2026
PDF, 115 KB Last Updated: 10/09/2026
PDF, 115 KB Last Updated: 10/09/2026
Authorization Updates - Effective May 1, 2026
PDF, 107 KB Last Updated: 10/09/2026
PDF, 107 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective July 1, 2026
PDF, 296 KB Last Updated: 10/09/2026
PDF, 296 KB Last Updated: 10/09/2026
Authorization Updates - Effective April 1, 2026
PDF, 134 KB Last Updated: 10/09/2026
PDF, 134 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective June 1, 2026
PDF, 157 KB Last Updated: 10/09/2026
PDF, 157 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Winter 2026
PDF, 235 KB Last Updated: 10/09/2026
PDF, 235 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective May 1, 2026
PDF, 200 KB Last Updated: 10/09/2026
PDF, 200 KB Last Updated: 10/09/2026
Authorization Updates - Effective Feb, Mar, April, and May 2026
PDF, 228 KB Last Updated: 10/09/2026
PDF, 228 KB Last Updated: 10/09/2026
Authorization Updates - Effective Feb, March, and May 2026
PDF, 124 KB Last Updated: 10/09/2026
PDF, 124 KB Last Updated: 10/09/2026
Medical and Clinical Policy Updates - Effective April 1, 2026
PDF, 243 KB Last Updated: 10/09/2026
PDF, 243 KB Last Updated: 10/09/2026
Authorization Updates - Effective February 1, 2026
PDF, 192 KB Last Updated: 10/09/2026
PDF, 192 KB Last Updated: 10/09/2026
Authorization Updates - Effective January 1, 2026
PDF, 146 KB Last Updated: 10/09/2026
PDF, 146 KB Last Updated: 10/09/2026
Authorization Updates - Effective Dec 2025, Jan 2026, and Mar 2026
PDF, 121 KB Last Updated: 10/09/2026
PDF, 121 KB Last Updated: 10/09/2026
Fall 2025 Authorization Updates
PDF, 204 KB Last Updated: 10/09/2026
PDF, 204 KB Last Updated: 10/09/2026
Authorization Updates - Effective February 1, 2026
PDF, 197 KB Last Updated: 10/09/2026
PDF, 197 KB Last Updated: 10/09/2026
Authorization Updates - Effective January 1, 2026
PDF, 249 KB Last Updated: 10/09/2026
PDF, 249 KB Last Updated: 10/09/2026
Medical and Clinical Policy Update - Effective December 1, 2025
PDF, 152 KB Last Updated: 10/09/2026
PDF, 152 KB Last Updated: 10/09/2026
Summer 2025 Authorization Updates
PDF, 297 KB Last Updated: 10/09/2026
PDF, 297 KB Last Updated: 10/09/2026
Authorization Updates - Effective November 1, 2025
PDF, 295 KB Last Updated: 10/09/2026
PDF, 295 KB Last Updated: 10/09/2026
Authorization Updates - Effective October 1, 2025
PDF, 179 KB Last Updated: 10/09/2026
PDF, 179 KB Last Updated: 10/09/2026
Authorization Updates - Effective August 1, 2025
PDF, 195 KB Last Updated: 10/09/2026
PDF, 195 KB Last Updated: 10/09/2026
Spring 2025 Authorization Updates
PDF, 322 KB Last Updated: 10/09/2026
PDF, 322 KB Last Updated: 10/09/2026
Authorization Updates- Effective July 1, 2025
PDF, 322 KB Last Updated: 10/09/2026
PDF, 322 KB Last Updated: 10/09/2026
Authorization Updates - Effective June 1, 2025
PDF, 264 KB Last Updated: 10/09/2026
PDF, 264 KB Last Updated: 10/09/2026
Authorization Updates, Effective May 1, 2025
PDF, 186 KB Last Updated: 10/09/2026
PDF, 186 KB Last Updated: 10/09/2026
Authorization Updates - Effective April 1, 2025
PDF, 258 KB Last Updated: 10/09/2026
PDF, 258 KB Last Updated: 10/09/2026
Authorization Updates - Effective March 1, 2025
PDF, 215 KB Last Updated: 10/09/2026
PDF, 215 KB Last Updated: 10/09/2026
Winter 2025 Authorization Updates
PDF, 367 KB Last Updated: 10/09/2026
PDF, 367 KB Last Updated: 10/09/2026
Authorization Updates - Effective February 1, 2025
PDF, 277 KB Last Updated: 10/09/2026
PDF, 277 KB Last Updated: 10/09/2026
Authorization Updates - Effective January 1, 2025
PDF, 385 KB Last Updated: 10/09/2026
PDF, 385 KB Last Updated: 10/09/2026