| Ambetter Health Mississippi Magnolia Clinical | IV Moderate Sedation, IV Deep Sedation, and General Anesthesia for Dental Procedures | 2025-09-01 |
| Ambetter Health Nebraska Clinical | Applied Behavior Analysis | 2025-09-01 |
| Ambetter Health North Carolina Clinical | Applied Behavior Analysis | 2025-09-01 |
| Wellcare New Jersey Medicaid Clinical | Bariatric Surgery | 2025-09-01 |
| Wellcare New Jersey Medicaid Clinical | IV Moderate Sedation, IV Deep Sedation, and | 2025-09-01 |
| BCBS Illinois Medical Policies | Alemtuzumab | 2025-09-01 |
| BCBS Illinois Medical Policies | Chelation Therapy for Off-Label Uses | 2025-09-01 |
| BCBS Illinois Medical Policies | Chemical Peels | 2025-09-01 |
| BCBS Illinois Medical Policies | Inhaled Nitric Oxide | 2025-09-01 |
| BCBS Illinois Medical Policies | Mirikizumab-mrkz | 2025-09-01 |