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Are you in North Carolina and need help because of Hurricane Helene? This website has helpful information. Visit the DPS website.

Provider Updates - Existing Policies

Dear Provider,

Thank you for your continued partnership with WellCare of North Carolina. As you know, we continually review and update our payment and utilization policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of the revision to existing policies WellCare of North Carolina will be implementing effective 10/01/20204.

  • Policy Number: CP.MP.209
  • Policy Name: CP.MP.209
  • Policy Description: Applied POS and diagnosis code edits to 87506; added new payable POS for 87506 and 87507; added coding combinations for diagnosis code matching as payable with 87506 and 87507, all consistent with the CMS Local Coverage Determination the policy is based on.Line of Business: XL Medicaid

Thank you for your ongoing collaboration and commitment to providing quality health care to our members.

Should you have any questions or require further assistance, please do not hesitate to reach out to your designated Provider Representative or contact our Provider Services team at ncproviderrelations@wellcare.com.

Warm regards,

The Provider Services Team
WellCare of North Carolina