| Wellcare South Carolina Medicare Clinical | Donor Lymphocyte Infusion | 2025-02-01 |
| Wellcare South Carolina Medicare Clinical | Implantable Wireless Pulmonary Artery Pressure Monitoring | 2025-02-01 |
| Wellcare South Carolina Medicare Clinical | Peripheral Nerve Blocks and Ablation of Peripheral | 2025-02-01 |
| Wellcare South Carolina Medicare Clinical | Pediatric Kidney Transplant | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Implantable Wireless Pulmonary Artery Pressure Monitoring | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Outpatient Cardiac Rehabilitation | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Quetiapine Extended-Release (Seroquel XR) | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Deep Transcranial Magnetic Stimulation for the | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Donor Lymphocyte Infusion | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Lung Transplantation | 2025-02-01 |