Skip to Main Content

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)

ASAM 4th Edition for Youth/Adolescents