| Health Net Comm & Medi-Cal Plan | IMRT | 2026-02-01 |
| Health Net Comm & Medi-Cal Plan | Lung Transplantation | 2026-02-01 |
| Health Net Comm & Medi-Cal Plan | Nerve Blocks | 2026-02-01 |
| Health Net Comm & Medi-Cal Plan | Pediatric Kidney Transplant | 2026-02-01 |
| Sentara Health Plans | Off-Label Drug Use, Pharmacy 12 - Commercial | 2026-02-01 |
| Sentara Health Plans | Off-Label Drug Use, Pharmacy 12 - Medicaid | 2026-02-01 |
| BCBS Highmark Penn Medicare Advantage | Nebulizers | 2026-02-01 |
| BCBS Iowa Medical Policies | Tumor Markers | 2026-02-01 |
| Sunshine Health Clinical Policy | Ambulatory Detoxification in Lieu of Services | 2026-02-01 |
| Sunshine Health Clinical Policy | Community-based Wraparound Services in Lieu of Services | 2026-02-01 |