| Wellcare Vermont Medicare Clinical | Cosmetic and Reconstructive Procedures | 2024-08-01 |
| Wellcare Vermont Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell | 2024-08-01 |
| Wellcare Vermont Medicare Clinical | Sacroiliac Joint Interventions for Pain Management | 2024-08-01 |
| Wellcare Washington Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell | 2024-08-01 |
| Wellcare Washington Medicare Clinical | Sacroiliac Joint Interventions for Pain Management | 2024-08-01 |
| Wellcare New Jersey Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell | 2024-08-01 |
| Wellcare New Jersey Medicare Clinical | Sacroiliac Joint Interventions for Pain Management | 2024-08-01 |
| Wellcare Iowa Medicare Clinical | Cosmetic and Reconstructive Procedures | 2024-08-01 |
| Wellcare Iowa Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell | 2024-08-01 |
| Wellcare Iowa Medicare Clinical | Sacroiliac Joint Interventions for Pain Management | 2024-08-01 |