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Notice of Updated or Retired Clinical Policies

WellCare of Kentucky is updating and/or retiring some clinical policies effective March 9, 2026. The table below details the changes. View these updates & more on the Kentucky Providers CCG page

Notice of Updated or Retired Clinical Policies
Policy NumberPolicy TitleRevision DateEffective Date
 UPDATED  
CP.MP.244Liposuction for Lipedema4/30/20253/9/2026
CP.MP.49Physical, Occupational, and Speech Therapy Services6/30/20253/9/2026
CP.MP.87Therapeutic Utilization of Inhaled Nitric Oxide4/30/20253/9/2026
CP.MP.61IV Moderate Sedation, IV Deep Sedation, and General Anesthesia for Dental Procedures9/30/20253/9/2026
 RETIRED  
CP.MP.109Panniculectomy 3/9/2026

Thank you for your continued partnership in delivering quality healthcare to our members. If you have any questions regarding this notice, please contact your Provider Relations Representative.