| Ambetter Health Texas Superior Medicaid Clinical | Leveling of Care: Emergency Department Evaluation and Management Over-coding for Professional Services (CC.PP.076) | 2025-04-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Office-based Evaluation and Management Over-coding (CC.PP.066) | 2025-04-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Leveling of Care: Emergency Department Evaluation and Management Over-coding for Professional Services (CC.PP.076) | 2025-04-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Newborn Inpatient Stays (TX.CC.PP.075) | 2025-04-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Leveling of Care: Emergency Department Evaluation and Management Over-coding for Professional Services (CC.PP.076) | 2025-04-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Newborn Inpatient Stays (TX.CC.PP.075) | 2025-04-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Office-based Evaluation and Management Over-coding (CC.PP.066) | 2025-04-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Office-based Evaluation and Management Over-coding (CC.PP.066) | 2025-04-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Bariatric Surgery | 2025-04-01 |
| UHC Commercial Medical & Drug | Enjaymo® (Sutimlimab-Jome) – Commercial Medical Benefit Drug Policy | 2025-04-01 |