| Wellcare North Carolina Medicare Clinical | Medical Necessity Criteria | 2026-01-01 |
| Wellcare Tennessee Medicare Clinical | Medical Necessity Criteria | 2026-01-01 |
| Wellcare Washington Medicare Clinical | Medical Necessity Criteria | 2026-01-01 |
| Medicare NCD | NCD 190.12 - Urine Culture, Bacterial | 2026-01-01 |
| Medicare NCD | NCD 190.13 - Human Immunodeficiency Virus (HIV)Testing | 2026-01-01 |
| Medicare NCD | NCD 190.14 - Human Immunodeficiency Virus (HIV) Testing | 2026-01-01 |
| Medicare NCD | NCD 190.15 - Blood Counts | 2026-01-01 |
| Medicare NCD | NCD 190.16 - Partial Thromboplastin Time (PTT) | 2026-01-01 |
| Medicare NCD | NCD 190.17 - Prothrombin Time (PT) | 2026-01-01 |
| Medicare NCD | NCD 190.18 - Serum Iron Studies | 2026-01-01 |