| Paramount Healthcare | Behavioral Health Partial Hospitalization Program | 2026-01-01 |
| Paramount Healthcare | Court-Ordered Service/Legally Mandated
Treatment | 2026-01-01 |
| Paramount Healthcare | Treatments for Benign Prostatic Hypertrophy
(BPH) | 2026-01-01 |
| Ambetter Health Arizona Clinical | Concert Genetic Testing: Multisystem Genetic Conditions | 2026-01-01 |
| Ambetter Health Indiana Clinical | Concert Genetic Testing: Multisystem Genetic Conditions (V2.2025) | 2026-01-01 |
| Ambetter Health Kansas Sunflower Clinical | Concert Genetic Testing: Multisystem Genetic Conditions | 2026-01-01 |
| Ambetter Health Kentucky WellCare Clinical | Concert Genetic Testing: Multisystem Genetic Conditions (V2.2025) | 2026-01-01 |
| Ambetter Health Nevada Silver Summit Clinical | Allogeneic Hematopoietic Progenitor Cell Therapy | 2026-01-01 |
| Ambetter Health Nevada Silver Summit Clinical | Concert Genetic Testing: Multisystem Genetic Conditions | 2026-01-01 |
| Sunshine Health Clinical Policy | Concert Genetic Testing: Multisystem Genetic Conditions | 2026-01-01 |