| Ambetter Health Illinois Clinical | Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2024-08-01 |
| Ambetter Health Illinois Clinical | Cosmetic and Reconstructive Procedures | 2024-08-01 |
| Ambetter Health Illinois Clinical | IV Moderate Sedation, IV Deep Sedation and General Anesthesia for Dental Procedures | 2024-08-01 |
| Ambetter Health Illinois Clinical | Orthognathic Surgery | 2024-08-01 |
| Ambetter Health Illinois Clinical | Panniculectomy | 2024-08-01 |
| Ambetter Health Illinois Clinical | Pediatric Heart Transplant | 2024-08-01 |
| Ambetter Health Indiana Clinical | Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2024-08-01 |
| Ambetter Health Indiana Clinical | Cosmetic and Reconstructive Procedures | 2024-08-01 |
| Ambetter Health Indiana Clinical | IV Moderate Sedation, IV Deep Sedation and General Anesthesia for Dental Procedures | 2024-08-01 |
| Ambetter Health Indiana Clinical | Orthognathic Surgery | 2024-08-01 |