| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Laser Therapy for Skin Diseases | 2023-03-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Low Frequency Ultrasound and Noncontact Normothermic Wound Therapy | 2023-03-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Ultrasound in Pregnancy | 2023-03-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Gastrointestinal Pathogen Nucleic Acid Detection Panel Testing | 2023-03-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Homocysteine Testing (CP.MP.121) - RETIRED (Medicare February 15, 2024) | 2023-03-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Endometrial Ablation (CP.MP.106) (RETIRED Ambetter May 17, 2023) | 2023-03-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Authorizing Cranial Molding Orthosis | 2023-03-01 |
| Wellcare Hawaii Medicaid Clinical | Bronchial Thermoplasty | 2023-03-01 |
| Wellcare Hawaii Medicaid Clinical | Laser Therapy for Skin Conditions | 2023-03-01 |
| Wellcare Hawaii Medicaid Clinical | Low-Frequency Ultrasound and Noncontact Normothermic Wound | 2023-03-01 |