| Health Net Comm & Medi-Cal Plan | Genetic Testing for Preimplantation Genetic Testing | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Hyperhidrosis Treatments | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Implantable Intrathecal or Epidural Pain Pump | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Implantable Loop Recorder | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Orthognathic Surgery | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Outpatient Oxygen Use | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Proton and Neutron Beam Therapies | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Selective Dorsal Rhizotomy in CP | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Urinary Incontinence Devices and Treatments | 2025-11-01 |