| BCBS Highmark NY and West NY | Hip Surgery: Avascular Necrosis | 2024-06-03 |
| BCBS Highmark NY and West NY | Hip Surgery: Labral Repair or Reconstruction | 2024-06-03 |
| BCBS Highmark NY and West NY | Knee Surgery: Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions | 2024-06-03 |
| BCBS Highmark NY and West NY | Knee Surgery: Meniscal Allograft Transplantation | 2024-06-03 |
| BCBS Highmark NY and West NY | Ankle Arthoscopy | 2024-06-03 |
| BCBS Highmark Delaware | Chemotherapy Services | 2024-06-03 |
| BCBS Highmark Delaware | Chiropractic Therapy | 2024-06-03 |
| BCBS Highmark West Virginia | Chemotherapy Services | 2024-06-03 |
| Meridian Illinois Medicaid Clinical | Opioid Analgesics* | 2024-06-03 |
| Sunshine Health Clinical Policy | Behavior Analysis Services | 2024-06-01 |