| Ambetter Health Nevada Silver Summit Clinical | Pediatric Heart Transplant | 2024-08-01 |
| Ambetter Health North Carolina Clinical | Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2024-08-01 |
| Ambetter Health North Carolina Clinical | Cosmetic and Reconstructive Procedures | 2024-08-01 |
| Ambetter Health North Carolina Clinical | Orthognathic Surgery | 2024-08-01 |
| Ambetter Health North Carolina Clinical | Panniculectomy | 2024-08-01 |
| Ambetter Health North Carolina Clinical | Pediatric Heart Transplant | 2024-08-01 |
| Wellcare Florida Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2024-08-01 |
| Wellcare Florida Medicare Clinical | Sacroiliac Joint Interventions | 2024-08-01 |
| Wellcare Kentucky Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2024-08-01 |
| Wellcare Kentucky Medicare Clinical | Sacroiliac Joint Interventions | 2024-08-01 |