5/15/2026
Thank you for your continued partnership with Wellcare. As you know, we continually review and update our payment and utilization policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of the revision to existing policies Wellcare will be implementing effective 07/15/2026.
| Policy Number | Policy Name | Policy Summary |
|
CG.PP.551A |
Genetic and Molecular Testing-Version A | This payment policy is supporting the entire Concert genetic testing QAI program. Concert outreaches to labs that have not already registered with them to inform them of the GTU and which codes are assigned to their tests as payable (never more than 5 per test), but registration is not required for them to have claims edited upon. This version (A) requires Concert’s unique genetic test identifier, the GTU, on every genetic testing claim. |
For detailed information about these policies, please refer to our website. And for questions about this or any of our payment policies, please don’t hesitate to submit a contact form to our Provider Relations team.
