| Ambetter Health North Carolina Clinical | Fecal Incontinence Treatments | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Fetal Surgery in Utero for Prenatally Diagnosed Malformations | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Neuromuscular Electrical Stimulation (NMES) | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Pediatric Liver Transplant | 2025-05-01 |
| Ambetter Health North Carolina Clinical | Reduction Mammoplasty and Gynecomastia Surgery | 2025-05-01 |
| Wellcare Kentucky Medicaid Clinical | Biofeedback for Behavioral Health Disorders | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Allergy Immunotherapy | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Allergy Testing | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Ambulance Services | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Bone Mass Measurement | 2025-05-01 |