| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Evolocumab | 2022-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Pulse Oximetry with Office Visits (CC.PP.025) | 2022-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Unbundled Professional Services (CC.PP.043) | 2022-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Protein C Concentrate, Human | 2022-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Tobramycin | 2022-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Pulse Oximetry with Office Visits (CC.PP.025) | 2022-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Pulse Oximetry with Office Visits (CC.PP.025) | 2022-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Unbundled Professional Services (CC.PP.043) | 2022-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Unbundled Professional Services (CC.PP.043) | 2022-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Hyperemesis Gravidarum Treatment | 2022-02-01 |