| BCBS South Dakota Medical Policies | Prolotherapy | 2023-11-01 |
| BCBS South Dakota Medical Policies | Thermography and Temperature Gradient Studies | 2023-11-01 |
| BCBS South Dakota Medical Policies | Treatments for Occipital Neuralgia, Chronic Headaches and Persistent Idiopathic Facial Pain* | 2023-11-01 |
| BCBS Massachusetts | Ophthalmic Prostaglandins | 2023-11-01 |
| BCBS Highmark Penn Medicare Advantage | Orthopedic Footwear | 2023-11-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Linaclotide | 2023-11-01 |
| Ambetter Health Mississippi Magnolia Clinical | Transcatheter Closure of Patent Foramen Ovale | 2023-11-01 |
| Medicare NCD | NCD 220.6.20 - Beta Amyloid Positron Tomography in Dementia and Neurodegenerative Disease (RETIRED) | 2023-11-01 |
| Medicare CGS | Enteral Nutrition - Policy Article (58833) | 2023-11-01 |
| Medicare Noridian | Enteral Nutrition - Policy Article (58833) | 2023-11-01 |