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.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)
- WNC.CP.103 Physician Fluoride Varnish Services (PDF)
- WNC.CP.114 Enhanced Mental Health and Substance Abuse Services (PDF)
- WNC.CP.141 Measurement of Serum 125-Dihydroxyvitamin D (PDF)
- WNC.CP.144 EEG in the Evaluation of Headache (PDF)
- WNC.CP.145 Cardiac Biomarker Testing (PDF)
- WNC.CP.156 Diaphragmatic Phrenic Nerve Stimulation (PDF)
- WNC.CP.262 Non-Emergency Medical Transportation (PDF)
- WNC.CP.274 Pulmonary Function Testing (PDF)
- WNC.CP.281 Medically Monitored Inpatient Withdrawal Management Services (ASAM 3.7 WM) (PDF)
- WNC.CP.289 Ambulatory Withdrawal Management Without Extended Onsite Monitoring (ASAM 1 WM) (PDF)
- WNC.CP.290 Ambulatory Withdrawal Management With Extended On-Site Monitoring (ASAM 2 WM) (PDF)
- WNC.CP.297 Physical Health Clinical Policy Committee (PDF)
- WNC.CP.106 Hearing Aid Services In Members Under Age 21 (PDF)
- WNC.CP.107 Routine Eye Examination and Visual Aids for Beneficiaries Under 21 years of Age (PDF)
- WNC.CP.117 Outpatient Behavioral Health Services Provided by Direct-Enrolled Providers (PDF)
- WNC.CP.133 Digital EEG Spike Analysis (PDF)
- WNC.CP.190 Keloid Excision and Scar Revision (PDF)
- WNC.CP.194 Fecal Microbiota Transplantation (PDF)
- WNC.CP.196 Out-of-State Services (PDF)
- WNC.CP.197 Surgery of the Lingual Frenulum (PDF)
- WNC.CP.198 Invasive Electrical Bone Growth Stimulation (PDF)
- WNC.CP.199 Hyperbaric Oxygenation Therapy (PDF)
- WNC.CP.205 Stereotactic Pallidotomy (PDF)
- WNC.CP.215 Nursing Equipment and Supplies (PDF)
- WNC.CP.227 Surgery for Ambiguous Genitalia (PDF)
- WNC.CP.230 Vagus Nerve Stimulation for the Treatment of Seizures (PDF)
- WNC.CP.235 Balloon Ostial Dilation (PDF)
- WNC.CP.236 Reconstructive and Cosmetic Surgery (PDF)
- WNC.CP.237 Craniofacial Surgery (PDF)
- WNC.CP.259 In Lieu of Services (PDF)
- WNC.CP.261 Wireless Capsule Endoscopy (PDF)
- WNC.CP.272 Hospice Services (PDF)
- WNC.CP.273 Blepharoplasty and Blepharoptosis (Eyelid Repair) (PDF)