| BCBS Highmark Delaware | Chiropractic Therapy | 2024-06-03 |
| BCBS Highmark West Virginia | Chemotherapy Services | 2024-06-03 |
| Meridian Illinois Medicaid Clinical | Opioid Analgesics* | 2024-06-03 |
| BCBS Highmark NY and West NY | Shoulder Surgery: Distal Clavicle Excision/Subacromial Decompression/Acromioplasty | 2024-06-03 |
| Sunshine Health Clinical Policy | Behavior Analysis Services | 2024-06-01 |
| Ambetter Health Illinois Clinical | Biofeedback for Behavioral Health Disorders | 2024-06-01 |
| Ambetter Health Illinois Clinical | Fetal Surgery in Utero | 2024-06-01 |
| Ambetter Health Illinois Clinical | Omisirge (omidubicel) | 2024-06-01 |
| Ambetter Health Indiana Clinical | Acupuncture | 2024-06-01 |
| Ambetter Health Nebraska Clinical | Acupuncture | 2024-06-01 |