View medical policies and criteria used by Wellmark, and learn whether authorization is required.

Submit and review medical and drug authorizations.

Verify benefits, read applicable medical policies and initiate an authorization request.

Learn about the various types of authorizations, and find out how and when to get the approvals you need.

Medical Policies A-Z
Determine which treatment, procedure, service or supply may be eligible for coverage.

Medical Policy Overview

Learn how medical policies are developed and used at Wellmark.

Find out which treatments, procedures, services, or supplies require prior approval for FEP members.

Find out how to access the criteria used in medical authorizations.