| Wellcare North Carolina Medicaid Clinical | Facet Joint Interventions | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Facility-Based Crisis Service for Children and | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Family Planning Service | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Hearing Aid Services in Adult Members Aged | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Home Health Services | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Home Infusion Therapy | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Medically Necessary Circumcision | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Nerve Blocks and Neurolysis for Pain | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Nursing Facility Services | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Private Duty Nursing for Beneficiaries Age 21 | 2025-05-01 |