| Wellcare Hawai'i Medicaid Clinical | Donor Lymphocyte Infusion | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Lung Transplantation | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Nerve Blocks and Neurolysis for Pain Management | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Pediatric Kidney Transplant | 2025-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Total Parenteral Nutrition and Intradialytic Parenteral Nutrition | 2025-02-01 |
| Wellcare Hawai'i Medicare Clinical | CPG Grid Adopted Clinical Practice and Preventive Health Guidelines | 2025-02-01 |
| Wellcare Hawai'i Medicare Clinical | Lung Transplantation | 2025-02-01 |
| Wellcare Hawai'i Medicare Clinical | Intensity Modulated Radiation Therapy (IMRT) | 2025-02-01 |
| Wellcare Hawai'i Medicare Clinical | Donor Lymphocyte Infusion | 2025-02-01 |
| Wellcare Hawai'i Medicare Clinical | Implantable Wireless Pulmonary Artery Pressure Monitoring | 2025-02-01 |