| Wellcare North Carolina Medicaid Clinical | Optic Nerve Decompression Surgery | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Orthotics & Prosthetics | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Phase II Outpatient Cardiac Rehabilitation | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Physical Rehabilitation Equipment and Supplies | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Physician’s Drug Program | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Placental and Umbilical Cord Blood as a Source | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Sleep Studies and Polysomnography | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Softband and Implantable Bone Conduction | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Teleretinal Screening for Diabetic Retinopathy | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Medicaid Clinical Practice Guidelines Grid | 2025-08-01 |