| Wellcare District Of Columbia Medicare Clinical | Concert Genetic Testing: Preimplantation Genetic Testing | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | Concert Genetic Testing: Preimplantation Genetic Testing | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | Implantable Intrathecal or Epidural Pain Pump | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | Implantable Loop Recorder | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | IV Moderate Sedation, IV Deep Sedation, and | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | Orthognathic Surgery | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | Outpatient Oxygen Use | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | Skin and Soft Tissue Substitutes for Diabetic Foot | 2025-11-01 |
| Wellcare Hawaii Medicaid Clinical | Spinal Cord, Peripheral Nerve, and Percutaneous | 2025-11-01 |