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Medicare Prior Authorization Medical Clinical Policies

Concert Genetics Policies


The Concert Genetics Clinical Criteria Support (PDF) document explains the evidence base for the Concert Genetics policies and the balance
of the benefits vs. the risks of the criteria.

New Century Health Cardiology Policies

New Century Health cardiology policies are applicable to the following Wellcare Medicare plans as of the dates noted below:

  • July 1, 2023:¬†CT, FL, HI, KY, LA, MA, MI, NC, RI, VT, NH, OH, GA, MO, TX, and WA
  • October 1, 2023: AL, MS, NJ, SC, IL, and TN