| Wellcare Hawaii Medicaid Clinical | Mechanical Stretching Devices for Joint Stiffness | 2025-10-01 |
| Wellcare Hawaii Medicaid Clinical | Stereotactic Body Radiation Therapy | 2025-10-01 |
| Wellcare Hawaii Medicaid Clinical | Transplant Service Documentation Requirements | 2025-10-01 |
| Wellcare North Carolina Medicaid Clinical | Cosmetic and Reconstructive Procedures | 2025-10-01 |
| Wellcare North Carolina Medicaid Clinical | Panniculectomy | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Aqueous Shunts and Stents for Glaucoma | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Hematopoietic Cell Transplantation: Non-Cancer Diseases | 2025-10-01 |
| BCBS Highmark Penn CPA/SEPA/WPA/NEPA | Apheresis Therapy | 2025-10-01 |
| BCBS Highmark Penn Medicare Advantage | Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy | 2025-10-01 |
| BCBS Highmark Penn Medicare Advantage | Ophthalmic Angiography (Fluorescein and Indocyanine Green) | 2025-10-01 |