| Wellcare Oregon Medicare Clinical | Lantidra (donislecel): Allogeneic Pancreatic Islet | 2025-12-01 |
| Wellcare Pennsylvania Medicare Clinical | Stereotactic Radiation Therapy: Stereotactic | 2025-12-01 |
| Wellcare Pennsylvania Medicare Clinical | Cosmetic and Reconstructive Procedures | 2025-12-01 |
| Wellcare Pennsylvania Medicare Clinical | Sacroiliac Joint Interventions for Pain Management | 2025-12-01 |
| Wellcare Pennsylvania Medicare Clinical | Skin and Soft Tissue Substitutes for Diabetic Foot | 2025-12-01 |
| Wellcare Pennsylvania Medicare Clinical | Outpatient Oxygen Use | 2025-12-01 |
| Wellcare Pennsylvania Medicare Clinical | Transplant Service Documentation Requirements | 2025-12-01 |
| Wellcare Pennsylvania Medicare Clinical | Lantidra (donislecel): Allogeneic Pancreatic Islet | 2025-12-01 |
| Wellcare Rhode Island Medicare Clinical | Skin and Soft Tissue Substitutes for Diabetic Foot | 2025-12-01 |
| Wellcare South Carolina Medicare Clinical | Skin and Soft Tissue Substitutes for Diabetic Foot | 2025-12-01 |