| Meridian Michigan Medicaid Clinical | Obstetrical Home Care Programs | 2025-11-01 |
| Meridian Michigan Medicaid Clinical | Skin and Soft Tissue Substitutes for Diabetic Foot | 2025-11-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Biofeedback | 2025-11-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Burn Surgery | 2025-11-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Hyperhidrosis Treatments | 2025-11-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Implantable Hypoglossal Nerve Stimulation for Obstructive | 2025-11-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Outpatient Oxygen Use | 2025-11-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Anifrolumab-fnia (Saphnelo) | 2025-11-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Antithymocyte Globulin (Atgam, Thymoglobulin) | 2025-11-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Axatilimab-csfr (Niktimvo) | 2025-11-01 |