| Ambetter Health North Carolina Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Wellcare Kentucky Medicaid Clinical | Biofeedback for Behavioral Health Disorders | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Allergy Immunotherapy | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Allergy Testing | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Ambulance Services | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Bone Mass Measurement | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Cochlear and Auditory Brainstem Implant | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Deep Brain Stimulation | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Diagnostic Assessment | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Drug Testing for Opioid Treatment and | 2025-05-01 |