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Clinical Practice Guidelines

Clinical Practice Guidelines are best-practice recommendations based on available clinical outcome and scientific evidence. Wellcare Clinical Practice Guidelines reference expert professional and clinical society recommendations, ensuring that the guidelines contain the highest level of evidence-based content. Clinical Practice Guidelines are also used to guide efforts to improvement the quality of care in our membership.

Guidelines listed as In Review are currently in the approval process; the date listed is the most current copy of the guideline.
Guidelines listed as Revised have been reviewed and are current as of the date listed.

Medicare Clinical Practice Guidelines Grid

Adopted Clinical Practice and Preventive Health Guidelines

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Last Updated On: 5/18/2023