| Ambetter Health Texas Superior Marketplace Clinical | Trigger Point Injections for Pain Management | 2025-07-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Vagus Nerve Stimulation | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Bone-Anchored Hearing Aid | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Cognitive Rehabilitation Therapy | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Dental Therapy Under General Anesthesia | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Diabetic Supplies | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Diaphragmatic/Phrenic Nerve Stimulation | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Intradiscal Steroid Injections for Pain Management | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sacroiliac Joint Interventions for Pain Management | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | SNRB/TFESI | 2025-07-01 |