| 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 | Craniofacial Surgery | 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 |
| Wellcare North Carolina Medicaid Clinical | Helicobacter Pylori Serology Testing | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Hematopoietic Stem-Cell Transplantation | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Hematopoietic Stem-Cell Transplantation for | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Hematopoietic Stem-Cell Transplantation in | 2025-11-01 |