| Ambetter Health Indiana Clinical | Therapeutic Utilization of Inhaled Nitric Oxide | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Urinary Incontinence Devices and Treatments | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Biofeedback | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Implantable Intrathecal or Epidural Pain Pump | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Selective Dorsal Rhizotomy in CP | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Burn Surgery | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Outpatient Oxygen Use | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Implantable Loop Recorder | 2024-11-01 |
| Ambetter Health Kansas Sunflower Clinical | Ventricular Assist Devices | 2024-11-01 |