| Medicare NCD | NCD 240.2 - Home Use of Oxygen | 2022-09-01 |
| Sunshine Health Clinical Policy | Home Delivered Meals-Post Facility Discharge Expanded Benefit | 2022-09-01 |
| Sunshine Health Clinical Policy | H Pylori Testing | 2022-09-01 |
| Sunshine Health Clinical Policy | Medically Fragile Children | 2022-09-01 |
| Ambetter Health Indiana Clinical | Hydroxyvitamin D Testing in Children | 2022-09-01 |
| Ambetter Health Indiana Clinical | Allergy Testing and Immunotherapy | 2022-09-01 |
| Ambetter Health Indiana Clinical | Electroencephalography in the Evaluation of Headache (CP.MP.155) | 2022-09-01 |
| Ambetter Health Indiana Clinical | Measurement of Serum 1,25-dihydroxyvitamin D (CP.MP.152) | 2022-09-01 |
| Wellcare Hawai'i Medicaid Clinical | Endometrial Ablation | 2022-09-01 |
| BCBS Massachusetts | Breast Duct Endoscopy | 2022-09-01 |