Clinical Coverage Guidelines
Claims Edit Guidelines (CEG) are intended to supplement certain standard WellCare benefit plans and aid in administering benefits. Federal and state law, contract language, etc. take precedence over the CEG (e.g., Centers for Medicare and Medicaid Services [CMS] National Coverage Determinations [NCDs], Local Coverage Determinations [LCDs] or other published documents). Please see the CEG disclaimer for additional details.
View complete list of Clinical Coverage Guidelines.