| Sunshine Health Clinical Policy | Drop-In Services In Lieu of Service | 2024-02-01 |
| Sunshine Health Clinical Policy | Family Training and Counseling for Child Development In Lieu of Service | 2024-02-01 |
| Sunshine Health Clinical Policy | Group Outpatient Therapy Expanded Benefit | 2024-02-01 |
| Sunshine Health Clinical Policy | Hepatitis Vaccine Coverage Policy | 2024-02-01 |
| Sunshine Health Clinical Policy | Infant Mental Health Pre and Post Testing In Lieu of Service | 2024-02-01 |
| Ambetter Health Illinois Clinical | Articular Cartilage Defect Repairs | 2024-02-01 |
| Ambetter Health Illinois Clinical | Functional MRI | 2024-02-01 |
| Wellcare Kentucky Medicaid Clinical | Articular Cartilage Defect Repairs | 2024-02-01 |
| Wellcare Kentucky Medicaid Clinical | Functional MRI | 2024-02-01 |
| Wellcare Kentucky Medicaid Clinical | Heart-Lung Transplant | 2024-02-01 |