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.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)
- 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.CP.104 Breast Surgeries (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.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)