| Sunshine Health Clinical Policy | Home Ventilators | 2025-03-01 |
| Ambetter Health Florida Clinical | Air Ambulance | 2025-03-01 |
| Ambetter Health Florida Clinical | Home Ventilators | 2025-03-01 |
| Ambetter Health Florida Clinical | Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention | 2025-03-01 |
| Ambetter Health Florida Clinical | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins and Other | 2025-03-01 |
| Ambetter Health Iowa Clinical | Air Ambulance | 2025-03-01 |
| Ambetter Health Iowa Clinical | Home Ventilators | 2025-03-01 |
| Ambetter Health Iowa Clinical | Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention | 2025-03-01 |
| Ambetter Health Iowa Clinical | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins and Other | 2025-03-01 |
| Ambetter Health Alabama Clinical | Air Ambulance | 2025-03-01 |