| Ambetter Health Michigan Meridian Clinical | Implantable Intrathecal or Epidural Pain Pump | 2025-11-01 |
| Ambetter Health Michigan Meridian Clinical | Implantable Loop Recorder | 2025-11-01 |
| Ambetter Health Michigan Meridian Clinical | Obstetrical Home Care Programs | 2025-11-01 |
| Ambetter Health Michigan Meridian Clinical | Orthognathic Surgery | 2025-11-01 |
| Ambetter Health Michigan Meridian Clinical | Outpatient Oxygen Use | 2025-11-01 |
| Ambetter Health Michigan Meridian Clinical | Proton and Neutron Beam Therapies | 2025-11-01 |
| Ambetter Health Michigan Meridian Clinical | Selective Dorsal Rhizotomy in CP | 2025-11-01 |
| Ambetter Health Michigan Meridian Clinical | Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | 2025-11-01 |
| Ambetter Health Mississippi Magnolia Clinical | Biofeedback | 2025-11-01 |
| Ambetter Health Mississippi Magnolia Clinical | Burn Surgery | 2025-11-01 |