Clinical Policy Updates

Date: 05/22/26

Wellcare reviews all clinical policies at least annually. This review is done to ensure medical necessity review criteria is current and appropriate for members and the scope of the services. On a quarterly basis, prior to updates, clinical policies are reviewed and approved by the National Medicare Quality Improvement & Management Committee (QI/UMC).

All new polices and policies with updates may be found on our Medical Clinical Policy Updates page. The full list of policies may be found on the Medical Clinical Policies page.

Please reach out to your Provider Engagement Account Manager if you have any questions.

Policy Updates: Effective August 20th, 2026

MEDICAL CLINICAL POLICIES WITH CHANGES