| Health Net Comm & Medi-Cal Plan | Orthognathic Surgery | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Outpatient Oxygen Use | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Proton and Neutron Beam Therapies | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Selective Dorsal Rhizotomy in CP | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Urinary Incontinence Devices and Treatments | 2025-11-01 |
| Health Net Comm & Medi-Cal Plan | Ventricular Assist Devices | 2025-11-01 |
| Ambetter Health Florida Clinical | Concert Genetic Testing: Cardiovascular | 2025-11-01 |
| Ambetter Health Florida Clinical | Concert Genetic Testing: Dermatology | 2025-11-01 |
| Ambetter Health Florida Clinical | Concert Genetic Testing: Endocrinology | 2025-11-01 |