Medicare Clinical Policy Bulletins (CPBs)

For our New York Medicare (Wellcare By Fidelis Care) members, we provide transparent access to medical Clinical Policy Bulletins (CPBs) which detail the services and procedures coded as medically necessary, cosmetic, or experimental.

Please note that the current policy list is not exhaustive, but rather a collection of policies that individuals have expressed an interest in viewing. Amendments, modifications, supplements to these posted policies and/or additional policies may be posted in the near future. 

If you have any questions regarding these policies, please contact a Fidelis Care representative.

About MCG Health

Centene has partnered with MCG Health, part of the Hearst Health network, to provide unbiased clinical guidance for patient-centered care decisions. MCG uses artificial intelligence and technology solutions, in tandem with objective clinical expertise, to streamline solutions and provide instant access to necessary documentation.

Your Information is Protected

The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule applies to all forms of your protected health information, whether electronic, written, or oral. 

To learn more about HIPAA and your privacy rights, visit the U.S. Department of Health and Human Services. 
(By clicking this link, you will leave the Fidelis Care website.)

Authorization to Use and Disclose Health Information (PDF)

Revocation of Authorization to Use and/or Disclose Health Information (PDF)