| Wellcare North Carolina Medicaid Clinical | Thymus Tissue Implantation | 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 |
| Wellcare Hawai'i Medicaid Clinical | Neuromuscular and Peroneal Nerve Electrical | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Pediatric Liver Transplant | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Total Artificial Heart | 2025-05-01 |