| Wellcare Florida Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2024-08-01 |
| Wellcare Florida Medicare Clinical | Sacroiliac Joint Interventions | 2024-08-01 |
| Wellcare Kentucky Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell Anemia and β-Thalassemia | 2024-08-01 |
| Wellcare Kentucky Medicare Clinical | Sacroiliac Joint Interventions | 2024-08-01 |
| Wellcare Hawai'i Medicaid Clinical | Cosmetic and Reconstructive Procedures | 2024-08-01 |
| Wellcare Hawai'i Medicaid Clinical | IV Moderate Sedation, IV Deep Sedation, and | 2024-08-01 |
| Wellcare Hawai'i Medicaid Clinical | Orthognathic Surgery | 2024-08-01 |
| Wellcare Hawai'i Medicaid Clinical | Pediatric Heart Transplant | 2024-08-01 |
| Wellcare Hawai'i Medicare Clinical | Allogeneic Hematopoietic Cell Transplants for Sickle Cell | 2024-08-01 |
| Wellcare Hawai'i Medicare Clinical | Sacroiliac Joint Interventions for Pain Management | 2024-08-01 |