| Ambetter Health Arizona Clinical | Outpatient Cardiac Rehabilitation | 2026-02-01 |
| Ambetter Health Arizona Clinical | Pediatric Kidney Transplant | 2026-02-01 |
| Ambetter Health Arizona Clinical | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins and Other | 2026-02-01 |
| Ambetter Health Arizona Clinical | Surgical Site of Care Optimization | 2026-02-01 |
| UHC Surest Medical and Drug | Electrical and Ultrasonic Bone Growth Stimulators – Commercial and Individual Exchange Medical Policy | 2026-02-01 |
| UHC Surest Medical and Drug | Gastrointestinal Disorders Diagnostic Procedures – Commercial and Individual Exchange Medical Policy | 2026-02-01 |
| UHC Surest Medical and Drug | Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases – Commercial and Individual Exchange Medical Policy | 2026-02-01 |
| UHC Surest Medical and Drug | Transcranial Magnetic Stimulation for Treating Physical Health Conditions – Commercial and Individual Exchange Medical Policy | 2026-02-01 |
| UHC UMR Medical and Drug | Electrical and Ultrasonic Bone Growth Stimulators – Commercial and Individual Exchange Medical Policy | 2026-02-01 |
| UHC UMR Medical and Drug | Transcranial Magnetic Stimulation for Treating Physical Health Conditions – Commercial and Individual Exchange Medical Policy | 2026-02-01 |