| Meridian Michigan Medicaid Clinical | Holter Monitors | 2024-09-01 |
| Meridian Michigan Medicaid Clinical | Evoked Potential Testing | 2024-09-01 |
| Meridian Michigan Medicaid Clinical | Wireless Motility Capsule | 2024-09-01 |
| Meridian Michigan Medicaid Clinical | Measurement of Serum 1,25-dihydroxyvitamin D | 2024-09-01 |
| Meridian Michigan Medicaid Clinical | Cardiac Biomarker Testing | 2024-09-01 |
| Paramount Healthcare | Peristeen Anal Irrigation System | 2024-09-01 |
| Carelon Medical Benefits Management | Inpatient Rehabilitation Facility Level of Care 2024-09-01 | 2024-09-01 |
| Carelon Medical Benefits Management | Long-Term Acute Care Hospital Level of Care 2024-09-01 | 2024-09-01 |
| Carelon Medical Benefits Management | Skilled Nursing Facility Level of Care 2024-09-01 | 2024-09-01 |
| Wellcare North Carolina Medicaid Clinical | 25-hydroxyvitamin D Testing in Children and Adolescents | 2024-09-01 |