| BCBS South Dakota Medical Policies | Fecal Incontinence Management | 2023-05-01 |
| BCBS South Dakota Medical Policies | Management of Dry Eye Syndrome | 2023-05-01 |
| BCBS South Dakota Medical Policies | Sensory Integration Therapy and Auditory Integration Therapy | 2023-05-01 |
| BCBS South Dakota Medical Policies | Treatment of Speech and Language Disorders* | 2023-05-01 |
| BCBS South Dakota Medical Policies | Vision Therapy/Orthoptic Training | 2023-05-01 |
| Ambetter Health Arizona Clinical | Long Term Care Placement | 2023-05-01 |
| Paramount Healthcare | Genetic Testing for Lynch Syndrome and
Polyposis Syndromes | 2023-05-01 |
| Ambetter Health Louisiana Clinical | Long Term Care Placement | 2023-05-01 |
| Wellcare Hawaii Medicaid Clinical | Long Term Care Placement | 2023-05-01 |
| BCBS Kansas | Temporomandibular Joint (TMJ) Disorder | 2023-04-27 |