| Wellcare North Carolina Medicaid Clinical | General Ophthalmological Services | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Geropsychiatric Units in Nursing Facilities | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Gonioscopy | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Hysterectomy | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Implantable Bone Conduction Hearing Aids | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Inpatient Behavioral Health Services | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Long Term Care Hospital Services | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Maternal Care Skilled Nurse Home Visit | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Medically Necessary Routine Foot Care | 2025-08-01 |
| Wellcare North Carolina Medicaid Clinical | Neonatal Abstinence Syndrome Guidelines | 2025-08-01 |