| Ambetter Health Texas Superior Marketplace Clinical | Alpelisib | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Cosmetic and Reconstructive Procedures | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | DME and O&P Criteria | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Panniculectomy | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Pediatric Heart Transplant | 2025-08-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Amivantamab-vmjw | 2025-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2025-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Cosmetic and Reconstructive Procedures | 2025-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | DME and O&P Criteria | 2025-08-01 |