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Clinical Guidelines

Clinical Coverage Guidelines
We have a great new search tool that allows providers to search evidence-based guidelines detailing the medical necessity of procedures or technologies. Note: Please check the Position Statement in each CCG to determine coverage determination for your state/market.

Clinical Practice Guidelines
Best-practice recommendations based on available clinical outcome and scientific evidence.

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Last Updated On: 6/19/2018
WellCare will be performing maintenance on Saturday, August 24 (From 6 PM EDT to 8 AM EDT the next day). You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us. ×
WellCare will be performing maintenance on Saturday, August 24 (From 6 PM EDT to 8 AM EDT the next day). You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. ×