| Meridian Michigan Medicaid Clinical | Readmission Review | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Assertive Community Treatment (ACT) | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Cosmetic and Reconstructive Procedures | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Experimental Technologies | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Orthognathic Surgery | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Beremagene Geperpavec-svdt (Vyjuvek) | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Burosumab-twza (Crysvita) | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Collagenase Clostridium Histolyticum (Xiaflex) | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Corticosteroids for Ophthalmic Injection (Dextenza, | 2025-08-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Deferoxamine (Desferal) | 2025-08-01 |