| Ambetter Health Texas Superior Medicaid Clinical | Hyperhidrosis Treatments | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Implantable Intrathecal or Epidural Pain Pump | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Orthognathic Surgery | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Private Duty Nursing | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Urinary Incontinence Devices and Treatments | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Ventricular Assist Devices | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Adalimumab and Biosimilars | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Anakinra | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Antithymocyte Globulin | 2025-11-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Asfotase Alfa | 2025-11-01 |