Notice of Updated or Retired Clinical Policies
Septembert 29, 2026
WellCare of Kentucky is implementing, updating and/or retiring the clinical policies listed in the table below that are effective as of November 1, 2026. The table below details the changes. See these updates and other policy information on the Kentucky Providers CCG page.
| Policy Number | Policy Title | Revision Date | Effective Date |
|---|---|---|---|
| UPDATED | |||
| CP.MP.129 | Fetal Surgery in Utero for Prenatally Diagnosed Malformation | 05/2026 | 11/1/2026 |
| CP.MP.49 | Physical, Occupational, and Speech Therapy | 05/2026 | 11/1/2026 |
| CP.MP.54 | Hospice Services | 05/2026 | 11/1/2026 |
| CP.MP.94 | Clinical Trials | 05/2026 | 11/1/2026 |
| CP.MP.186 | Burn Surgery | 05/2026 | 11/1/2026 |
| CP.MP.300 | Biofeedback for Behavioral Disorders | 06/2026 | 11/1/2026 |
| CP.MP.142 | Urinary Incontinence Devices and Treatments | 11/2025 | 11/1/2026 |
| CP.MP.22 | Stereotactic Body Radiation Therapy | 10/2025 | 11/1/2026 |
| CP.MP.46 | Ventricular Assist Device | 11/2025 | 11/1/2026 |
| CP.MP.62 | Hyperhidrosis Treatments | 11/2025 | 11/1/2026 |
| CP.MP.70 | Proton and Neutron Beam Therapies | 11/2025 | 11/1/2026 |
| CP.MP.117 | Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | 11/2025 | 11/1/2026 |
| CP.MP.174 | Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy | 11/2025 | 11/1/2026 |
| RETIRED | |||
| CP.MP.82 | NICU Bradycardia Guidelines | 11/1/2026 | |
| CP.MP.26 | Articular Cartilage Defect Repairs | 11/1/2026 | |
| CP.MP.43 | Functional MRI | 11/1/2026 | |
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.