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.
- WNC.CP.105 Private Duty Nursing for Beneficiaries Age 21 and Over (PDF)
- WNC.CP.106 Hearing Aid Services in Members Under Age 21 (PDF)
- WNC.CP.114 Enhanced Mental Health and Substance Abuse Services (PDF)
- WNC.CP.116 Facility-Based Crisis Service for Children and Adolescents (PDF)
- WNC.CP.117: Outpatient BH Services Provided by Direct-Enrolled Providers (PDF)
- WNC.CP.119 Cochlear & Auditory Brainstem Implant External Parts Replacement & Repair (PDF)
- WNC.CP.152 Polymerase Chain Reaction Respiratory Viral Panel Testing (PDF)
- WNC.CP.158 Experimental Technologies (PDF)
- WNC.CP.163 NICU Discharge Guidelines (PDF)
- WNC.CP.164 NICU Apnea Bradycardia Guidelines (PDF)
- WNC.CP.187 Ambulance Services (PDF)
- WNC.CP.207 Home Health Services (PDF)
- WNC.CP.215 Nursing Equipment and Supplies (PDF)
- WNC.CP.226 Sterilization Procedures (PDF)
- WNC.CP.231 Peer Support Services (PDF)
- WNC.CP.252 Acute Inpatient Hospital Services (PDF)
- WNC.CP.253 Drug Testing for Opioid Treatment and Controlled Substance Monitoring (PDF)
- WNC.CP.254 Hippotherapy (Equine Therapy) (PDF)
- WNC.CP.255 Art Therapy (PDF)
- WNC.CP.276 Hearing Aid Services in Adult Members Aged 21 and older (PDF)
- WNC.CP.278 Acupuncture Services (PDF)
- WNC.CP.104 Breast Surgeries (PDF)
- WNC.CP.109 Research Based BH Treatment for Autism Spectrum Disorder (PDF)
- WNC.CP.114 Enhanced Mental Health and Substance Abuse Services (PDF)
- WNC.CP.115 Routine Costs in Clinical Trial Services for Life Threatening Conditions (PDF)
- WNC.CP.117 Outpatient BH Services Provided by Direct-Enrolled Providers (PDF)
- WNC.CP.120 Endometrial Ablation (PDF)
- WNC.CP.130 Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins (PDF)
- WNC.CP.152 Polymerase Chain Reaction Respiratory Viral Panel Testing (PDF)
- WNC.CP.173 Testing for Select Genitourinary Conditions (PDF)
- WNC.CP.174 Urodynamic Testing (PDF)
- WNC.CP.176 Bronchial Thermoplasty (PDF)
- WNC.CP.178 Implantable Wireless Pulmonary Artery Pressure Monitoring (PDF)
- WNC.CP.208 Private Duty Nursing for Beneficiaries Under 21 years of Age (PDF)
- WNC.CP.222 Skin Substitutes (PDF)
- WNC.CP.229 Evoked Potential Testing (PDF)
- WNC.CP.256 Medically Necessary Circumcision (PDF)
- WNC.CP.259 In Lieu of Services (PDF)
- WNC.CP.261 Wireless Capsule Endoscopy (PDF)
- WNC.CP.263 Child First Services (PDF)
- WNC.CP.269 GI Pathogen Nucleic Acid Detection Panel Testing (PDF)
- WNC.CP.271 Therapeutic and Non-Therapeutic Abortions (PDF)
- WNC.CP.279 Thymus Tissue Transplantation (PDF)
- WNC.CP.101 Physicians Drug (PDF)
- WNC.CP.141 Measurement of Serum 125-Dihydroxyvitamin D (PDF)
- WNC.CP.144 Electroencephalography in the Evaluation of Headache (PDF)
- WNC.CP.168 Neonatal Abstinence Syndrome Guidelines (PDF)
- WNC.CP.201 Deep Brain Stimulation (PDF)
- WNC.CP.209 State Plan Personal Care Services (PDF)
- WNC.CP.220 Allergy Testing (PDF)
- WNC.CP.221 Allergy Immunotherapy (PDF)
- WNC.CP.224 Home Infusion Therapy (PDF)
- WNC.CP.234 Nursing Facility Services (PDF)