| Wellcare North Carolina Medicaid Clinical | Respiratory Equipment and Supplies | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Rhinoplasty and Septoplasty | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Skin Substitutes | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | State Plan Personal Care Services | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | State Plan Personal Care Services (PCS) | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Sterilization Procedures | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Surgery for Clinically Severe or Morbid Obesity | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Therapeutic and Non-Therapeutic Abortions | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Thymus Tissue Implantation | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Urodynamic Testing | 2025-05-01 |