| Ambetter Health Nebraska Clinical | Orthognathic Surgery | 2025-08-01 |
| Ambetter Health Nebraska Clinical | Panniculectomy | 2025-08-01 |
| Ambetter Health Nebraska Clinical | Pediatric Heart Transplant | 2025-08-01 |
| Ambetter Health Nevada Silver Summit Clinical | Orthognathic Surgery | 2025-08-01 |
| Ambetter Health Nevada Silver Summit Clinical | Pediatric Heart Transplant | 2025-08-01 |
| Ambetter Health North Carolina Clinical | Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2025-08-01 |
| Ambetter Health North Carolina Clinical | Cosmetic and Reconstructive Procedures | 2025-08-01 |
| Ambetter Health North Carolina Clinical | DME and O&P Criteria | 2025-08-01 |
| Ambetter Health North Carolina Clinical | Panniculectomy | 2025-08-01 |
| Ambetter Health North Carolina Clinical | Pediatric Heart Transplant | 2025-08-01 |