| Sentara Health Plans Avalon | M2160: Molecular Testing for Pulmonary Disease | 2026-02-01 |
| Sentara Health Plans Avalon | M2167: Genetic Testing For Neurodegenerative Disorders | 2026-02-01 |
| Sentara Health Plans Avalon | M2179: Prenatal Screening (Genetic) | 2026-02-01 |
| Sentara Health Plans Avalon | M2182: Genomic Testing for Hematopoietic Neoplasms | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Adopted Clinical Practice and Preventive Health Guidelines (CPG Grid) | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Assisted Reproductive Technology | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Bariatric Surgery | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Donor Lymphocyte Infusion | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Heart-Lung Transplant | 2026-02-01 |
| Ambetter Health Louisiana Clinical | Home Ventilators | 2026-02-01 |