Medical policies & Authorizations
Manage your medical and drug authorizations. View the authorization table, then submit and check the status of authorizations in the Provider Portal.
Medical, drug and out-of-area-member authorizations
View the medical authorization table or drug authorization list to learn whether an authorization is required.
Federal Employee Program (FEP) medical authorizations
The FEP medical authorizations list is the first stop in learning whether an authorization is required.
Medical policies A-Z
View Wellmark's medical policies to determine what medical services, procedures, devices and drugs may be eligible for coverage by Wellmark health insurance.
InterQual® and SmartSheets
InterQual criteria is used in Wellmark’s medical review processes to support the medical necessity of health care services. View InterQual content through SmartSheets.