| Wellcare New Mexico Medicare Clinical | Lantidra (donislecel): Allogeneic Pancreatic Islet | 2025-12-01 |
| Wellcare New York Medicare Clinical | Stereotactic Radiation Therapy: Stereotactic | 2025-12-01 |
| Wellcare New York Medicare Clinical | Cosmetic and Reconstructive Procedures | 2025-12-01 |
| Wellcare New York Medicare Clinical | Sacroiliac Joint Interventions for Pain Management | 2025-12-01 |
| Wellcare New York Medicare Clinical | Skin and Soft Tissue Substitutes for Diabetic Foot | 2025-12-01 |
| Wellcare New York Medicare Clinical | Outpatient Oxygen Use | 2025-12-01 |
| Wellcare New York Medicare Clinical | Transplant Service Documentation Requirements | 2025-12-01 |
| Wellcare New York Medicare Clinical | Lantidra (donislecel): Allogeneic Pancreatic Islet | 2025-12-01 |
| Wellcare North Carolina Medicaid Clinical | Electric Tumor Treating Fields (Optune) | 2025-12-01 |
| Wellcare North Carolina Medicaid Clinical | Mechanical Stretching Devices for Joint Stiffness | 2025-12-01 |