| Wellcare North Carolina Medicaid Clinical | Ambulatory Withdrawal Management Without | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Blepharoplasty and Blepharoptosis | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Cardiac Biomarker Testing | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Craniofacial Surgery | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Diaphragmatic/Phrenic Nerve Stimulation | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Digital EEG Spike Analysis | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | EEG in the Evaluation of Headache | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Electric Tumor Treating Fields | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Enhanced Mental Health and Substance Abuse | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Fecal Microbiota Transplantation | 2025-11-01 |