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Wellcare of Missouri partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most. We are committed to improving the quality of life of our millions of members, who often include some of our nation’s most vulnerable populations.
Get detailed health plan information on important topics such as coverage procedures and policies.
Contains key phone numbers and information on claims, appeals and more.
Details the various tools available to help providers do business with WellCare.
Guide to using self-service features in the provider portal.
Detailed plan information on important topics relating to vision plan.
How to quickly get in touch with WellCare to get your questions answered.
evolent Utilization Review Matrix 2024
evolent Utilization Review Matrix 2024
Wellcare Hearing Plan
Wellcare Vision Plan
Wellcare Gold Dental Plan
Wellcare Silver Dental Plan
Wellcare Bronze Dental Plan
Wellcare Copper Dental Plan
Wellcare Platinum Dental Plan
A STAR score is a rating system used by Center for Medicare and Medicaid Services (CMS) to measure how well healthcare plans perform in categories such as quality of care and customer service. Ratings range from 1 STAR (poorest quality) to 5 STARS (highest quality).
Promoting Medicare Advantage preventative care visits
Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a survey tool that asks patients to evaluate their experience with their health plan and at providers’ offices. The following are the provider-influenced measures and their weight.
Medicare Health Outcomes Survey (HOS) measures a Health Plan’s success in improving and maintaining the functional status of our patients ages 65 and older.
Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC)
Hospitalization for Potentially Preventable Complications (HPC)
Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC) Medicare Beneficiaries
