| Wellcare North Carolina Medicaid Clinical | State Plan Personal Care Services (PCS) | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Sterilization Procedures | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Surgery for Clinically Severe or Morbid Obesity | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Therapeutic and Non-Therapeutic Abortions | 2025-05-01 |
| Wellcare North Carolina Medicaid Clinical | Thymus Tissue Implantation | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Caudal or Interlaminar Epidural Steroid Injections | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Cochlear Implant Replacements | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Facet Joint Interventions | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Fecal Incontinence Treatments | 2025-05-01 |
| Wellcare Hawai'i Medicaid Clinical | Fetal Surgery in Utero for Prenatally Diagnosed | 2025-05-01 |