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Wellcare Clinical Coverage/Medical Policy Updates

Wellcare by Allwell updates a select number of clinical coverage policies each month, ensuring the reviewal of all policies on an annual basis.

MC.CP.CPC.05 Medical Necessity Criteria (PDF)
MC.CP.MP.249 Allogeneic Hematopoietic Progenitor Cell Therapy (PDF)
MC.CP.MP.101 Donor Lymphocyte Infusion (PDF)
MC.CP.MP.170 Nerve Blocks and Ablation of Peripheral Nerves for Pain Management (PDF)
MC.CP.MP.184 Home Ventilators (PDF)
MC.CP.MP.246 Pediatric Kidney Transplant (PDF)
MC.CP.MP.57 Lung Transplantation (PDF)
MC.CP.MP.69 Intensity-Modulated Radiotherapy (PDF)
MC.CP.MP.107 DME (PDF)
CP.CPC.03 Preventative Health and CPG (PDF)
MC.CP.MP.185 Skin and Soft Tissue Substitues (PDF)
V2.2025 CG Testing Prenatal Diagnosis (PDF)
V2.2025 CG CA Screen and Surv (PDF)
V2.2025 CG General Approach to Genetic and Molecular Taring (PDF)
V2.2025 CG Identity and Forensics (PDF)
V2.2025 CG Immunology and Rheumatology (PDF)
V2.2025 CG Onc Hema Malig Mol Diag (PDF)
V2.2025 CG Onc Hereditary Cancer (PDF)
V2.2025 CG Preimplantation Gen Test (PDF)
V2.2025 CG Prenatal and Preconception Carrier Screening (PDF)
V2.2025 CG Solid Tumor Molec Diag (PDF)
V2.2025 CG Test Nephrology (PDF)
V2.2025 CG Test Neurology (PDF)
V2.2025 CG Test Nutri and Metab (PDF)
V2.2025 CG Test Onc Algorithmic Assay (PDF)
V2.2025 CG Test Ophthamology (PDF)
V2.2025 CG Testing Cardiovascular (PDF)
V2.2025 CG Testing Dermatology (PDF)
V2.2025 CG Testing Endocrinology (PDF)
V2.2025 CG Testing Gastroenterology (PDF)
V2.2025 CG Testing Hematology (PDF)
V2.2025 CG Testing Otolaryngology (PDF)
V2.2025 CG Testing Prenatal Screening (PDF)
V2.2025 CG Testing Orthopedics (PDF)
V2.2025 CG Testing Respiratory (PDF)
V2.2025 CG Testing Toxic and Pharma Version A (PDF)
V2.2025 CG Testing Transplant (PDF)