| Sunshine Health Clinical Policy | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Florida Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Iowa Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Alabama Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Georgia Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Illinois Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Indiana Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Kansas Sunflower Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Kentucky WellCare Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |
| Ambetter Health Michigan Meridian Clinical | FACILITY-BASED PSG FOR OSA | 2011-06-01 |