Resources
Manage medical and drug authorizations
Manage your medical and drug authorizations. View the authorization table, then submit and check the status of authorizations in the Provider Portal.
Types of authorizations
Learn about the types of authorizations Wellmark uses and the details for obtaining them.
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.
Specialty authorization programs managed by EviCore®
Wellmark collaborates with EviCore to provide select utilization management services.
Drug authorization list
View drug authorization and quantity limits to see which drug requires a prior authorization (PA).
Federal Employee Program (FEP) medical authorizations
The FEP medical authorizations list is the first stop in learning whether an authorization is required.
InterQual®, SmartSheets and Inpatient acute criteria
InterQual criteria is used in Wellmark’s medical review processes to support the medical necessity of health care services.
Disclosures
EviCore by Evernorth® is a separate company that provides authorization services on behalf of Wellmark Blue Cross and Blue Shield.