| Ambetter Health Nevada Silver Summit Clinical | Behavioral Health Documentation Requirements | 2014-01-01 |
| Ambetter Health North Carolina Clinical | Behavioral Health Documentation Requirements | 2014-01-01 |
| Medicare NCD | NCD 40.5 - Treatment of Obesity | 2013-12-01 |
| Medicare NCD | NCD 220.6.17 - Positron Emission Tomography (FDG) for Oncologic Conditions | 2013-06-11 |
| Wellcare North Carolina Medicaid Clinical | Endometrial Ablation | 2013-03-01 |
| Sunshine Health Clinical Policy | Ambulatory Detoxification In Lieu of Service | 2013-02-01 |
| Sunshine Health Clinical Policy | Personal Care Services Requests | 2013-01-01 |
| Medicare NCD | NCD 10.2 - Transcutaneous Electrical Nerve Stimulation (TENS) for Acute Post-Operative Pain | 2012-11-01 |
| Sunshine Health Clinical Policy | Fractional Exhaled Nitric Oxide | 2012-11-01 |
| Ambetter Health Michigan Meridian Clinical | Fluorescein Angiography | 2012-08-01 |