| Ambetter Health Arizona Clinical | Air Ambulance | 2025-03-01 |
| Ambetter Health Arizona Clinical | Home Ventilators | 2025-03-01 |
| Ambetter Health Arizona Clinical | Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention | 2025-03-01 |
| Ambetter Health Arizona Clinical | Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins and Other | 2025-03-01 |
| BCBS California | Blepharoplasty, Blepharoptosis Repair (Levator Resection) and Brow Lift (Repair of Brow Ptosis) | 2025-03-01 |
| BCBS California | Negative Pressure Wound Therapy in the Outpatient Setting | 2025-03-01 |
| Health Net Comm & Medi-Cal Plan | Air Ambulance | 2025-03-01 |
| Health Net Comm & Medi-Cal Plan | Behavioral Health Treatment Documentation Requirements | 2025-03-01 |
| Health Net Comm & Medi-Cal Plan | Bronchial Thermoplasty | 2025-03-01 |
| Health Net Comm & Medi-Cal Plan | Excimer Laser Therapy for Skin Diseases | 2025-03-01 |