| BCBS Highmark West Virginia | Ipilimumab (Yervoy) | 2025-09-01 |
| BCBS Highmark West Virginia | Lecanemab-irmb (Leqembi) | 2025-09-01 |
| BCBS Highmark West Virginia | Tremelimumab (Imjudo) | 2025-09-01 |
| BCBS Highmark West Virginia | Donanemab (Kisunla) | 2025-09-01 |
| Health Net Comm & Medi-Cal Plan | Holter Monitors | 2025-09-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Assistive Communication Device | 2025-09-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Child and Adolescent Strength and Needs (CANS 3.0) Medical Necessity Criteria | 2025-09-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Elective Deliveries Before 39 Weeks Gestational Age | 2025-09-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Excision of Lesions | 2025-09-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Mastectomy for Pubertal Gynecomastia | 2025-09-01 |