| Wellcare Kentucky Medicaid Clinical | OB Home Health Programs | 2023-04-01 |
| Wellcare Kentucky Medicaid Clinical | Obstetrical Home Care Programs | 2023-04-01 |
| Wellcare New Jersey Medicaid Clinical | Evoked Potential Testing | 2023-04-01 |
| Wellcare New Jersey Medicaid Clinical | Holter Monitors | 2023-04-01 |
| Sunshine Health Clinical Policy | Nutritional Counseling Expanded Benefit | 2023-04-01 |
| Sunshine Health Clinical Policy | Planned Out of Hospital Births (Home Birth or Birth Center) | 2023-04-01 |
| BCBS Iowa Medical Policies | Balloon Ostial Dilation for the Treatment of Recurrent Chronic Rhinosinusitis | 2023-04-01 |
| BCBS Iowa Medical Policies | Cryoablation, Radiofrequency Ablation, and Laser Ablation for Treatment of Chronic Rhinitis | 2023-04-01 |
| BCBS Iowa Medical Policies | Dynamic Posturography | 2023-04-01 |
| BCBS Iowa Medical Policies | Medical Foods and Specialized Formula for the Treatment of Inborn Errors of Metabolism | 2023-04-01 |