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.102 Family Planning Service (PDF)
- WNC.CP.104 Breast Surgeries (PDF)
- WNC.CP.109 Research Based Behavioral Health Treatment (RB-BHT) for Autism Spectrum Disorder (ASD) (PDF)
- WNC.CP.120 Endometrial Ablation (PDF)
- WNC.CP.131 Phototherapy for Neonatal Hyperbilirubinemia (PDF)
- WNC.CP.158 Experimental Technologies (PDF)
- WNC.CP.163 NICU Discharge Guidelines (PDF)
- WNC.CP.164 NICU Apnea Bradycardia Discharge Guidelines (PDF)
- WNC.CP.174 Urodynamic Testing (PDF)
- WNC.CP.176 Bronchial Thermoplasty (PDF)
- WNC.CP.193 Telehealth Virtual Communications and Remote Patient Monitoring (PDF)
- WNC.CP.201 Deep Brain Stimulation (PDF)
- WNC.CP.220 Allergy Testing (PDF)
- WNC.CP.221 Allergy Immunotherapy (PDF)
- WNC.CP.224 Home Infusion Therapy (PDF)
- WNC.CP.228 Surgery for Clinically Severe or Morbid Obesity (PDF)
- WNC.CP.229 Evoked Potential Testing (PDF)
- WNC.CP.234 Nursing Facility Services (PDF)
- WNC.CP.256 Medically Necessary Circumcision (PDF)
- WNC.CP.259 In Lieu of Services (PDF)
- WNC.CP.263 Child First Services (PDF)
- WNC.CP.271 Therapeutic and Non-Therapeutic Abortions (PDF)
- WNC.CP.279 Thymus Tissue Implantation (PDF)
- WNC.CP.292 Bone Mass Measurement (PDF)
- WNC.CP.105 Private Duty Nursing for Beneficiaries Age 21 and Older (PDF)
- WNC.CP.116 Facility Based Crisis Service for Children and Adolescents (PDF)
- WNC.CP.148 Nerve Blocks and Neurolysis for Pain Management (PDF)
- WNC.CP.187 Ambulance Services (PDF)
- WNC.CP.189 Rhinoplasty and or Septoplasty (PDF)
- WNC.CP.192 CAR-T Cell Therapy (PDF)
- WNC.CP.207 Home Health Services (PDF)
- WNC.CP.208 Private Duty Nursing for Beneficiaries Under 21 years of Age (PDF)
- WNC.CP.209 State Plan Personal Care Services (PDF)
- WNC.CP.212 Diagnostic Assessment (PDF)
- WNC.CP.213 Respiratory Equipment and Supplies (PDF)
- WNC.CP.215 Nursing Equipment and Supplies (PDF)
- WNC.CP.222 Skin Substitutes (PDF)
- WNC.CP.252 Acute Inpatient Hospital Services (PDF)
- WNC.CP.253 Drug Testing for Opioid Treatment and Controlled Substance Monitoring (PDF)
- WNC.CP.265 Caudal or Interlaminar Epidural Steroid Injections/Trial of Implantable Intrathecal Pain Pump (PDF)
- WNC.CP.293 Genetic Testing for Diagnosis and Treatment (PDF)
- WNC.CP.294 Genetic Testing for Carrier and Prenatal (PDF)
- WNC.CP.295 Genetic Testing - Gene Expression (PDF)
- WNC.CP.296 Genetic Testing - Next Generation Sequencing (PDF)
- WNC.CP.298 State Plan Personal Care Services (PCS) Provided in Congregate Settings (PDF)
- WNC.CP.299 Cell and Gene Therapies (PDF)
- WNC.CPG GRID (PDF)
- WNC.CP.101 Physicians Drug Program (PDF)
- WNC.CP.142 Helicobacter Pylori Serology Testing (PDF)
- WNC.CP.180 Extended Ophthalmoscopy (PDF)
- WNC.CP.188 Maternal Care Skilled Nurse Home Visit (PDF)
- WNC.CP.191 Placental and Umbilical Cord Blood as a Source of Stem Cells (PDF)
- WNC.CP.210 Dietary Evaluation and Counseling and Medical Lactation Services (PDF)
- WNC.CP.214 Hysterectomy (PDF)
- WNC.CP.217 Extracorporeal Shock Wave Lithotripsy (PDF)
- WNC.CP.223 Phase II Outpatient Cardiac Rehabilitation Programs (PDF)
- WNC.CP.251 Long Term Care Hospital Services (PDF)