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Notice of Updated or Retired Clinical Policies

June 12, 2026

WellCare of Kentucky is updating and/or retiring some clinical policies effective July 12, 2026.
The table below details the changes. View these updates & more on the Kentucky Providers CCG page

Policy NumberPolicy TitleRevision Date
UPDATED
2025.2Concert Genetic Testing: CG Multisystem Genetic Conditions1/31/2026
CP.MP.102Pancreas Transplant1/31/2026
CP.MP.141Nonmyeloablative Allogeneic Stem Cell Transplants1/31/2026
CP.MP.162Tandem Transplant1/31/2026
CP.MP.252Immobilized Lipase Cartridges2/28/2026
CP.MP.132Heart-Lung Transplant2/28/2026
CP.MP.246Pediatric Kidney Transplant2/28/2026
CP.MP.57Lung Transplantation2/28/2026
CP.BH.105ABA Documentation Policy2/28/2026
CP.BH.104Applied Behavior Analysis2/28/2026
CP.BH.201Deep Transcranial Magnetic Stimulation for the Treatment of Obsessive Compulsive Disorder2/28/2026
V2.2025Concert Genetic Testing: Prenatal Diagnosis11/30/2025
V2.2025Concert Genetic Testing: Testing Oncology: Cancer Screening and Surveillance11/30/2025
V2.2025Concert Genetic Testing: General Approach to Genetic and Molecular Testing11/30/2025
V2.2025Concert Genetic Testing: Identity and Forensics11/30/2025
V2.2025Concert Genetic Testing: Immunology and Rheumatology11/30/2025
V2.2025Concert Genetic Testing Oncology: Hematologic Malignancy11/30/2025
V2.2025Concert Genetic Testing: Hereditary Cancer11/30/2025
V2.2025Concert Genetic Testing: Preimplantation Genetic Testing11/30/2025
V2.2025Concert Genetic Testing: Prenatal and Preconception Carrier Screening11/30/2025
V2.2025Concert Genetic Testing Oncology: Solid Tumor Molecular Diagnostics11/30/2025
V2.2025Concert Genetic Testing: Nephrology11/30/2025
V2.2025Concert Genetic Testing: Neurology11/30/2025
V2.2025Concert Genetic Testing: Nutrition and Metabolism11/30/2025
V2.2025Concert Genetic Testing Oncology: Algorithmic Assays11/30/2025
V2.2025Concert Genetic Testing: Ophthalmology11/30/2025
V2.2025Concert Genetic Testing: Cardiovascular11/30/2025
V2.2025Concert Genetic Testing: Dermatology11/30/2025
V2.2025Concert Genetic Testing: Endocrinology11/30/2025
V2.2025Concert Genetic Testing: Gastroenterology11/30/2025
V2.2025Concert Genetic Testing: Hematology11/30/2025
V2.2025Concert Genetic Testing: Otolaryngology11/30/2025
V2.2025Concert Genetic Testing: Prenatal Screening11/30/2025
V2.2025Concert Genetic Testing: Orthopedics11/30/2025
V2.2025Concert Genetic Testing: Respiratory11/30/2025
V2.2025Concert Genetic Testing: Toxicology and Pharmcogenetics Version B11/30/2025
V2.2025Concert Genetic Testing: Transplant11/30/2025
RETIRED
CP.MP.69Intensity-Modulated Radiotherapy 
CP.MP.53Ferriscan R2- MRI 
CP.MP.92Acupuncture 
CP.MP.71Long Term Care Placement 

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.