| Wellcare Hawaii Medicaid Clinical | Multiple Sleep Latency Testing | 2026-04-01 |
| Wellcare Hawaii Medicaid Clinical | Disc Decompression Procedures | 2026-04-01 |
| Wellcare Hawaii Medicaid Clinical | Discography | 2026-04-01 |
| Wellcare Hawaii Medicaid Clinical | Lysis of Epidural Lesions | 2026-04-01 |
| Wellcare Hawaii Medicaid Clinical | Neuromuscular and Peroneal Nerve Electrical | 2026-04-01 |
| Wellcare Hawaii Medicaid Clinical | Pediatric Oral Function Therapy | 2026-04-01 |
| Wellcare Hawaii Medicaid Clinical | Repair of Nasal Valve Compromise | 2026-04-01 |
| Wellcare Hawaii Medicaid Clinical | Therapeutic Utilization of Inhaled Nitric Oxide | 2026-04-01 |
| Wellcare New Jersey Medicaid Clinical | Skin and Soft Tissue Substitutes | 2026-04-01 |
| Wellcare North Carolina Medicaid Clinical | Bariatric Surgery | 2026-04-01 |