| Wellcare North Carolina Medicaid Clinical | Home Health Services | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Home Infusion Therapy | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | In Lieu of Services | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Medically Necessary Circumcision | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Nerve Blocks and Neurolysis for Pain | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | NICU Apnea Bradycardia Guidelines | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Nursing Facility Services | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Private Duty Nursing for Beneficiaries Age 21 | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Private Duty Nursing for Beneficiaries Under 21 | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Research-Based Behavioral Health Treatment | 2025-05-01 |