Wellcare policies, page 5

Search Wellcare's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

319 public policies Substrate tracks for Wellcare, by title.

Wellcare policies
PolicyDetailsCodesSource
Lysis of Epidural LesionsCP.MP.116 · Medicaid · NJ2Original policy ↗
Mechanical Stretch Devices: CP.MP.144CP.MP.144 · Medicaid · HI36Original policy ↗
Mechanical Stretching Devices for Joint Stiffness and Contracture CP.MP.144CP.MP.144 · Medicaid · KY17Original policy ↗
Mechanical Stretching Devices for Joint Stiffness and Contracture: CP.MP.144CP.MP.144 · Medicaid · NJ36Original policy ↗
Medical Day Care (Adult and Pediatric Day Health Services): NJ.CP.MP.503NJ.CP.MP.503 · Medicaid · NJ6Original policy ↗
Multiple Sleep Latency Testing: CP.MP.24CP.MP.24 · Medicaid · HI1Original policy ↗
Multiple Sleep Latency Testing: CP.MP.24CP.MP.24 · Medicaid · NJ1Original policy ↗
Neonatal Abstinence Syndrome GuidelinesCP.MP.86 · Medicaid · NJ—Original policy ↗
Neonatal Sepsis ManagementCP.MP.85 · Medicaid · NJ—Original policy ↗
Neonatal Sepsis Management: CP.MP.85CP.MP.85 · Medicaid · HI—Original policy ↗
Nerve Blocks and Neurolysis for Pain Management: CP.MP.170CP.MP.170 · Medicaid · HI30Original policy ↗
Nerve Blocks and Neurolysis for Pain Management: CP.MP.170CP.MP.170 · Medicaid · KY30Original policy ↗
Nerve Blocks and Neurolysis for Pain Management: CP.MP.170CP.MP.170 · Medicaid · NJ30Original policy ↗
Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES): CP.MP.48CP.MP.48 · Medicaid · HI4Original policy ↗
Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES): CP.MP.48CP.MP.48 · Medicaid · KY4Original policy ↗
Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES): CP.MP.48CP.MP.48 · Medicaid · NJ4Original policy ↗
NICU Apnea Bradycardia Guidelines: CP.MP.82CP.MP.82 · Medicaid · KY—Original policy ↗
NICU Apnea Bradycardia Guidelines: CP.MP.82CP.MP.82 · Medicaid · NJ—Original policy ↗
NICU Discharge GuidelinesCP.MP.81 · Medicaid · NJ—Original policy ↗
Nonmyeloablative Allogeneic Stem Cell Transplants: CP.MP.141CP.MP.141 · Medicaid · HI15Original policy ↗
Nonmyeloablative Allogeneic Stem Cell Transplants: CP.MP.141CP.MP.141 · Medicaid · KY15Original policy ↗
Nonmyeloablative Allogeneic Stem Cell Transplants: CP.MP.141CP.MP.141 · Medicaid · NJ15Original policy ↗
Obstetrical Home Care ProgramsCP.MP.91 · Medicaid · NJ20Original policy ↗
Optic Nerve Decompression Surgery: CP.MP.128CP.MP.128 · Medicaid · HI1Original policy ↗
Orthognathic Surgery: CP.MP.202CP.MP.202 · Medicaid · HI37Original policy ↗
Orthognathic Surgery: CP.MP.202CP.MP.202 · Medicaid · KY37Original policy ↗
Orthognathic Surgery: CP.MP.202CP.MP.202 · Medicaid · NJ37Original policy ↗
Osteogenic StimulationCP.MP.194 · Medicaid · HI8Original policy ↗
Osteogenic StimulationCP.MP.194 · Medicaid · KY8Original policy ↗
Osteogenic StimulationCP.MP.194 · Medicaid · NJ8Original policy ↗
Outpatient Cardiac Rehabilitation: CP.MP.176CP.MP.176 · Medicaid · HI5Original policy ↗
Outpatient Cardiac Rehabilitation: CP.MP.176CP.MP.176 · Medicaid · KY5Original policy ↗
Outpatient Cardiac Rehabilitation: CP.MP.176CP.MP.176 · Medicaid · NJ5Original policy ↗
Outpatient Oxygen UseCP.MP.190 · Medicaid · HI23Original policy ↗
Outpatient Oxygen UseCP.MP.190 · Medicaid · NJ23Original policy ↗
Pancreas Transplantation: CP.MP.102CP.MP.102 · Medicaid · HI19Original policy ↗
Pancreas Transplantation: CP.MP.102CP.MP.102 · Medicaid · KY19Original policy ↗
Pancreas Transplantation: CP.MP.102CP.MP.102 · Medicaid · NJ19Original policy ↗
Panniculectomy: CP.MP.109CP.MP.109 · Medicaid · HI2Original policy ↗
Panniculectomy: CP.MP.109CP.MP.109 · Medicaid · NJ2Original policy ↗
Pediatric Heart TransplantCP.MP.138 · Medicaid · HI2Original policy ↗
Pediatric Heart TransplantCP.MP.138 · Medicaid · KY2Original policy ↗
Pediatric Heart TransplantCP.MP.138 · Medicaid · NJ2Original policy ↗
Pediatric Kidney Transplant: CP.MP.246CP.MP.246 · Medicaid · HI11Original policy ↗
Pediatric Kidney Transplant: CP.MP.246CP.MP.246 · Medicaid · KY11Original policy ↗
Pediatric Kidney Transplant: CP.MP.246CP.MP.246 · Medicaid · NJ11Original policy ↗
Pediatric Liver TransplantCP.MP.120 · Medicaid · HI11Original policy ↗
Pediatric Liver Transplant: CP.MP.120CP.MP.120 · Medicaid · NJ11Original policy ↗
Pediatric Oral Function Therapy: CP.MP.188CP.MP.188 · Medicaid · HI3Original policy ↗
Pediatric Oral Function Therapy: CP.MP.188CP.MP.188 · Medicaid · NJ3Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.