| Sunshine Health Clinical Policy | Concert Genetic Testing: Toxicology and Pharmacogenetics (Version B) | 2025-11-01 |
| Sunshine Health Clinical Policy | Concert Genetic Testing: Transplant | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Implantable Loop Recorder | 2025-11-01 |
| Ambetter Health Mississippi Magnolia Clinical | Selective Dorsal Rhizotomy in CP | 2025-11-01 |
| BCBS Louisiana | Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas | 2025-11-01 |
| BCBS Louisiana | Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty) | 2025-11-01 |
| BCBS Louisiana | Allogeneic Pancreas Transplant | 2025-11-01 |
| BCBS Louisiana | Photodynamic Therapy for Choroidal Neovascularization | 2025-11-01 |
| BCBS Louisiana | Hip Resurfacing | 2025-11-01 |
| BCBS Louisiana | Risk-Reducing Mastectomy | 2025-11-01 |