| BCBS California | Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis | 2025-05-01 |
| BCBS California | Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities | 2025-05-01 |
| BCBS California | Sensory Integration Therapy and Auditory Integration Therapy | 2025-05-01 |
| BCBS California | Viscocanalostomy and Canaloplasty | 2025-05-01 |
| Health Net Comm & Medi-Cal Plan | Biofeedback for Behavioral Health Disorders | 2025-05-01 |
| Health Net Comm & Medi-Cal Plan | Caudal or Interlaminar Epidural Steroid Injections | 2025-05-01 |
| Health Net Comm & Medi-Cal Plan | Cochlear Implant Replacements | 2025-05-01 |
| Health Net Comm & Medi-Cal Plan | Facet Joint Interventions | 2025-05-01 |
| Health Net Comm & Medi-Cal Plan | Fecal Incontinence Treatments | 2025-05-01 |
| Health Net Comm & Medi-Cal Plan | Fetal Surgery in Utero for Prenatally Diagnosed Malformations | 2025-05-01 |