| Ambetter Health Texas Superior Medicaid Clinical | Burn Surgery | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Cranial Remolding Orthosis | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Durable Medical Equipment | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Enteral Nutrition | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Eptinezumab-jjmr | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Hyperhidrosis Treatments | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Implantable Intrathecal or Epidural Pain Pump | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Orthognathic Surgery | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Private Duty Nursing | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Urinary Incontinence Devices and Treatments | 2025-11-01 |