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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: 12/23/2020
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

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