| BCBS Massachusetts | Gene Therapies for Duchenne Muscular Dystrophy | 2024-03-01 |
| BCBS Massachusetts | Neuropsychological and Psychological Testing | 2024-03-01 |
| BCBS Massachusetts | Zolgensma (onasemnogene abeparvovec-xioi) for Spinal Muscular Atrophy | 2024-03-01 |
| BCBS South Dakota Medical Policies | Non-Powered Negative Pressure Wound Therapy | 2024-03-01 |
| BCBS South Dakota Medical Policies | Urethral Drug-Coated Balloons for the Treatment of Urethral Stricture(s) | 2024-03-01 |
| Ambetter Health Illinois Clinical | Transcranial Magnetic Stimulation | 2024-03-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Bronchial Thermoplasty | 2024-03-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Robotic Surgery (CC.PP.050) | 2024-03-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Ultrasound in Pregnancy | 2024-03-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Urodynamic Testing | 2024-03-01 |