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Clinical practice guidelines (CPGs) and Clinical Coverage Guidelines (CCGs) made available by Wellcare are informational in nature and are not a substitute for the professional medical judgment of treating physicians or other health care practitioners. These guidelines are based on information available at the time and may not be updated with the most current information available at subsequent times. Individuals should consult with their physician(s) regarding the appropriateness of care or treatment options to meet their specific needs or medical condition. Disclosure of clinical practice guidelines and clinical coverage guidelines is not a guarantee of coverage. Members of Wellcare health plans should consult their individual coverage documents for information regarding covered benefits. Wellcare does not offer medical advice or provide medical care, and therefore cannot guarantee any results or outcomes. Wellcare does not warrant or guarantee, and shall not be liable for any deficiencies in the information contained herein or for any inaccuracies or recommendations made by independent third parties from whom any of the information contained herein was obtained.

Note: Lines of business (LOBs) are subject to change without notice. Here are the most current LOBs:

  • Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. 
  • Wellcare Health Plans, Inc. (Alabama, Arizona, Arkansas, California, Connecticut, Florida, Georgia, Illinois, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Mississippi, Missouri,  New Hampshire, New Jersey, New York, North Carolina, Ohio, Rhode Island, South Carolina, Tennessee, Texas, Vermont)
  • WellCare Prescription Insurance, Inc.
  • Washington residents: “Wellcare” is issued by Wellcare of Washington, Inc.
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Last Updated On: 3/23/2022