Clinical Coverage/Medical Policy Updates
WellCare of North Carolina updates a select number of clinical coverage policies each month, ensuring the reviewal of all policies on an annual basis.
Policy Updates
- WNC.CP.108 Physical Rehabilitation Equipment and Supplies (PDF)
- WNC.CP.111 Implantable Bone Conduction Hearing Aids (BAHA) (PDF)
- WNC.CP.112 Cochlear and Auditory Brainstem Implants (PDF)
- WNC.CP.113 Soft Band and Implantable Bone Conduction Hearing Aid External Parts Replacement and Repair (PDF)
- WNC.CP.211 Geropsychiatric Units in Nursing Facilities (PDF)
- WNC.CP.216 Orthotics Prosthetics (PDF)
- WNC.CP.225 Fetal Surveillance (PDF)
- WNC.CP.264 Discography (PDF)
- WNC.CP.282 Medically Necessary Routine Foot Care (PDF)
- WNC.CP.283 General Ophthalmological Services (PDF)
- WNC.CP.284 Sleep Studies and Polysomnography Services (PDF)
- WNC.CP.300 Casgevy - Pharmacy Prior Approval Criteria (PDF)
- WNC.CP.301 Lyfgenia - Pharmacy Prior Approval Criteria (PDF)
- WNC.CP.305 Lysis of Epidural Lesions (PDF)
- WNC.CPG Clinical Practice and Preventive Health Guidelines (PDF)
- WNC.CP.104 Breast Surgeries (PDF)
- WNC.CP.108 Physical Rehabilitation Equipment and Supplies (PDF)
- WNC.CP.121 Optic Nerve Decompression Surgery (PDF)
- WNC.CP.122 Total Artificial Heart (PDF)
- WNC.CP.125 Fecal Incontinence Treatments (PDF)
- WNC.CP.131 Phototherapy for Neonatal Hyperbilirubinemia (PDF)
- WNC.CP.163 NICU Discharge Guidelines (PDF)
- WNC.CP.167 Neonatal Sepsis Management (PDF)
- WNC.CP.168 Neonatal Abstinence Syndrome Guidelines (PDF)
- WNC.CP.181 Fluorescein Angiography (PDF)
- WNC.CP.183 Gonioscopy (PDF)
- WNC.CP.184 External Ocular Photography (PDF)
- WNC.CP.185 Visual Field Testing (PDF)
- WNC.CP.186 Teleretinal Screening for Diabetic Retinopathy (PDF)
- WNC.CP.258 Inpatient Behavioral Health Services (PDF)
- WNC.CP.265 Caudal or Interlaminar Epidural Steroid Injections (PDF)
- WNC.CP.267 Facet Joint Interventions (PDF)
- WNC.CP.275 Chiropractic Services (PDF)
- WNC.CP.115 Routine Patient Costs Furnished in Connection with Participation in Qualifying Clinical Trials (PDF)
- WNC.CP.129 Electric Tumor Treating Fields (PDF)
- WNC.CP.133 Digital EEG Spike Analysis (PDF)
- WNC.CP.232 Ventricular Assist Devices (PDF)
- WNC.CP.238 Hematopoietic Stem-Cell Transplantation for Leukemia (PDF)
- WNC.CP.239 Hematopoietic Stem-CellTransplantation for Lymphoma (PDF)
- WNC.CP.240 Hematopoietic Stem-Cell Transplantation for Solid Tumors of Childhood (PDF)
- WNC.CP.241 Allogeneic Hematopoietic Stem Cell Transplantation for Genetic Diseases and Acquired Anemias (PDF)
- WNC.CP.242 Hematopoietic Stem-Cell Transplantation in the Treatment of Germ Cell Tumors (PDF)
- WNC.CP.243 Hematopoietic Stem-Cell Transplantation For Multiple Myeloma POEMS Syndrome and Primary Amyloidosis (PDF)
- WNC.CP.244 Allogeneic Hematopoietic Stem-Cell Transplantation for Myelodysplastic Syndromes Myeloproliferative Neoplasms (PDF)
- WNC.CP.245 Hematopoietic Stem-Cell Transplantation (HSCT) for Central Nervous System (CNS) Embryonal Tumors Ependymoma (PDF)
- WNC.CP.277 Opioid Treatment Program Service (PDF)