| Ambetter Health Texas Superior Medicaid Clinical | Aripiprazole Long-Acting Injections | 2026-08-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Alpelisib | 2026-08-01 |
| BCBS Massachusetts | Automated Percutaneous and Percutaneous Discectomy | 2026-08-01 |
| BCBS Massachusetts | Continuous Passive Motion in the Home Setting | 2026-08-01 |
| BCBS Massachusetts | Engineered T-Cell Therapy for Leukemia and Lymphoma | 2026-08-01 |
| BCBS Massachusetts | Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions | 2026-08-01 |
| BCBS Massachusetts | Identification of Microorganisms Using Nucleic Acid Probe | 2026-08-01 |
| BCBS Massachusetts | Laser Interstitial Thermal Therapy | 2026-08-01 |
| UHC UMR Medical and Drug | Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases – Commercial and Individual Exchange Medical Policy | 2026-08-01 |
| BCBS Highmark Penn Medicare Advantage | Lower Limb Prostheses | 2026-08-01 |