WellPoint Medicare Supplement policies, page 2
Search WellPoint Medicare Supplement'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.
422 public policies Substrate tracks for WellPoint Medicare Supplement, by title.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · Medicaid · DC | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · Medicaid · MD | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · Medicaid · TX | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective May 19, 2023 · Medicaid · TX | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · Medicaid · WV | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · Medicaid · DC | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · Medicaid · MD | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · Medicaid · TX | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 19, 2023 · Medicaid · TX | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · Medicaid · WV | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Oct 6, 2025 · Medicaid · DC | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Oct 6, 2025 · Medicaid · MD | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Jan 1, 2026 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Oct 6, 2025 · Medicaid · TX | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Jul 23, 2021 · Medicaid · TX | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Jul 23, 2021 · Medicaid · TX | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Oct 6, 2025 · Medicaid · WV | — | Original policy ↗ |
| Critical Care to Home | G-25001 · Effective Apr 1, 2026 · SC, TX, WV | 2 | Original policy ↗ |
| Diagnoses Used in DRG Computation | G-12005 · Effective Oct 8, 2020 · Medicaid · TX | — | Original policy ↗ |
| DME Modifiers for New Rental and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · WV | — | Original policy ↗ |
| DME Modifiers for New, Rented and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · MD | — | Original policy ↗ |
| DME Modifiers for New, Rented and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| DME Modifiers for New, Rented and Used Equipment | G-06053 · Effective Sep 14, 2020 · Medicaid · TX | — | Original policy ↗ |
| DME Modifiers for New, Rented, and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · DC | — | Original policy ↗ |
| DME Modifiers for New, Rented, and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · TX | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Apr 1, 2023 · Medicaid · DC | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · Medicaid · MD | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · Medicaid · TX | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | Effective Oct 1, 2017 · Medicaid · TX | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · Medicaid · WV | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · DC | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · MD | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · TX | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · TX | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · WV | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | G-17001 · Effective Apr 1, 2023 · Medicaid · DC | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | Medicaid · GA, WA | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | G-17001 · Effective Aug 12, 2020 · Medicaid · TX | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | G-17001 · Effective Aug 12, 2020 · WV | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Nov 14, 2025 · Medicaid · DC | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Oct 1, 2026 · Medicaid · MD | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Nov 14, 2025 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Nov 14, 2025 · Medicaid · TX | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Aug 6, 2024 · Medicaid · TX | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Nov 14, 2025 · Medicaid · WV | — | Original policy ↗ |
| Duplicate or Subsequent Services on Same Date of Service | G-06032 · Effective May 22, 2024 · Medicaid · WV | — | Original policy ↗ |