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.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)
- 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)