WellPoint Medicare Supplement policies, page 8
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 |
|---|---|---|---|
| Preventive Medicine and Sick Visits on the Same Day | G-05016 · Effective Jul 1, 2026 · Medicaid · GA, MD, WA | — | Original policy ↗ |
| Preventive Medicine and Sick Visits on the Same Day | G-05016 · Effective Apr 1, 2026 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Preventive Medicine and Sick Visits on the Same Day | G-05016 · Effective Jul 1, 2026 · Medicaid · TX | — | Original policy ↗ |
| Preventive Medicine and Sick Visits on the Same Day | G-05016 · Effective Aug 1, 2026 · Medicaid · WV | — | Original policy ↗ |
| Professional Anesthesia Services | G-07018 · Effective Nov 14, 2025 · Medicaid · DC | — | Original policy ↗ |
| Professional Anesthesia Services | G-07018 · Effective Nov 14, 2025 · Medicaid · MD | 2 | Original policy ↗ |
| Professional Anesthesia Services | G-07018 · Effective Nov 14, 2025 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Professional Anesthesia Services | G-07018 · Effective Nov 14, 2025 · Medicaid · TX | 2 | Original policy ↗ |
| Professional Anesthesia Services | G-07018 · Effective Nov 6, 2020 · Medicaid · TX | 2 | Original policy ↗ |
| Professional Anesthesia Services | G-07018 · Effective Nov 14, 2025 · Medicaid · WV | — | Original policy ↗ |
| Proof of Timely Filing | G-06133 · Effective Oct 23, 2025 · Medicaid · DC | — | Original policy ↗ |
| Proof of Timely Filing | G-06133 · Effective Oct 23, 2025 · Medicaid · MD | — | Original policy ↗ |
| Proof of Timely Filing | G-06133 · Effective Oct 23, 2025 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Proof of Timely Filing | G-06133 · Effective Oct 23, 2025 · Medicaid · TX | — | Original policy ↗ |
| Proof of Timely Filing | G-06133 · Effective Nov 19, 2021 · Medicaid · TX | — | Original policy ↗ |
| Proof of Timely Filing | G-06133 · Effective Oct 23, 2025 · Medicaid · WV | — | Original policy ↗ |
| Prosthetic and Orthotic Devices | G-06084 · Effective Apr 1, 2023 · Medicaid · DC | — | Original policy ↗ |
| Prosthetic and Orthotic Devices | G-06084 · Effective Jan 1, 2025 · Medicaid · MD | — | Original policy ↗ |
| Prosthetic and Orthotic Devices | G-06084 · Effective Oct 14, 2024 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Prosthetic and Orthotic Devices | G-06084 · Effective Oct 14, 2024 · Medicaid · TX | — | Original policy ↗ |
| Prosthetics and Orthotic Devices | G-06084 · Effective Oct 14, 2024 · Medicaid · WV | — | Original policy ↗ |
| Provider Digital Engagement Supplement | Medicaid · MD | — | Original policy ↗ |
| Provider Manual | Medicaid · DC | 34 | Original policy ↗ |
| Provider Manual | MULTI-WP-CR-PM-008701-26-GRP2620 · Effective Apr 1, 2026 · Medicaid · SC, TX, WV | 4 | Original policy ↗ |
| Provider Preventable Conditions | G-20003 · Effective Mar 22, 2023 · Medicaid · DC | — | Original policy ↗ |
| Provider Preventable Conditions | G-20003 · Effective Mar 22, 2023 · Medicaid · GA, MD, WA | — | Original policy ↗ |
| Provider Preventable Conditions | G-20003 · Effective Mar 22, 2023 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Provider Preventable Conditions | G-20003 · Effective Mar 22, 2023 · Medicaid · TX | — | Original policy ↗ |
| Provider Preventable Conditions | G-20003 · Effective Mar 22, 2023 · Medicaid · WV | — | Original policy ↗ |
| Provider Quick Reference Card | Medicaid · DC | — | Original policy ↗ |
| Reimbursement for Items Under Warranty | G-06112 · Effective Sep 11, 2025 · Medicaid · DC | — | Original policy ↗ |
| Reimbursement for Items Under Warranty | G-06112 · Effective Sep 11, 2025 · Medicaid · MD | — | Original policy ↗ |
| Reimbursement for items under Warranty | G-06112 · Effective Apr 6, 2023 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Reimbursement for items under Warranty | G-06112 · Effective Sep 11, 2025 · Medicaid · TX | — | Original policy ↗ |
| Reimbursement for Reduced and Discontinued Services | G-10033 · Effective Nov 18, 2021 · Medicaid · WV | — | Original policy ↗ |
| Reimbursements of Items Under Warranty | G-06112 · Effective Sep 11, 2025 · Medicaid · WV | — | Original policy ↗ |
| Sanctioned and Opt-Out Providers | G-10002 · Effective Dec 30, 2024 · Medicaid · DC | — | Original policy ↗ |
| Sanctioned and Opt-Out Providers | G-10002 · Effective Dec 30, 2024 · Medicaid · MD | — | Original policy ↗ |
| Sanctioned and Opt-Out Providers | G-10002 · Effective Dec 20, 2024 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Sanctioned and Opt-Out Providers | G-10002 · Effective Dec 30, 2024 · Medicaid · TX | — | Original policy ↗ |
| Sanctioned Providers | G-10002 · Effective Dec 30, 2024 · Medicaid · WV | — | Original policy ↗ |
| Scope of Practice | G-12004 · Effective Apr 29, 2022 · Medicaid · WV | — | Original policy ↗ |
| Simplify processes and enhance care with our Texas Provider Protection Plan | Medicaid · TX | — | Original policy ↗ |
| Split Care Surgical Modifiers | G-11005 · Effective Aug 18, 2025 · Medicaid · WV | — | Original policy ↗ |
| Split-Care Surgical Modifiers | G-11005 · Effective Aug 18, 2025 · Medicaid · DC | — | Original policy ↗ |
| Split-Care Surgical Modifiers | G-11005 · Effective Aug 18, 2025 · Medicaid · GA, MD, WA | — | Original policy ↗ |
| Split-Care Surgical Modifiers | G-11005 · Effective Aug 18, 2025 · AZ, IA, NJ, NM, SC, TN, TX, WA | — | Original policy ↗ |
| Split-Care Surgical Modifiers | G-11005 · Effective Aug 18, 2025 · Medicaid · TX | — | Original policy ↗ |
| STAR+PLUS MMP (Medicare-Medicaid Plan) Provider Manual | Medicaid · TX | 5 | Original policy ↗ |
| Sterilization | G-06163 · Effective Jul 17, 2024 · Medicaid · DC | — | Original policy ↗ |