| Wellcare Maine Medicare Clinical | Allogeneic Hematopoietic Progenitor Cell Therapy | 2025-05-01 |
| Wellcare Massachusetts Medicare Clinical | Allogeneic Hematopoietic Progenitor Cell Therapy | 2025-05-01 |
| Wellcare Michigan Medicare Clinical | Allogeneic Hematopoietic Progenitor Cell Therapy | 2025-05-01 |
| Wellcare Rhode Island Medicare Clinical | Allogeneic Hematopoietic Progenitor Cell Therapy | 2025-05-01 |
| Wellcare South Carolina Medicare Clinical | Allogeneic Hematopoietic Progenitor Cell Therapy | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Caudal or Interlaminar Epidural Steroid Injections | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Facet Joint Interventions | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Fecal Incontinence Treatments | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Fetal Surgery in Utero for Prenatally Diagnosed | 2025-05-01 |