Get the latest updates and information for providers.
Medicare
- View the latest updates to Medical Clinical Policies
- Medicare Billing Tips for Transplant Service Claims
- Updates to Prior Authorization Requirements: Effective March 01, 2022
- Medicare Billing Updates Effective January 01, 2022
- 2022 Formulary Change Notification
- Wellcare’s Provider Portal – Providers love our Live Chat!
- New Ophthalmology Medical Necessity Payment Policies
- National Imaging Associates (NIA) Implementation Announcement
- WellCare’s Provider Portal – Now with Improved Live Chat
- Point of Care Formulary Information Tools
- Claims and Payment Policy: Polymerase Chain Reaction Respiratory Viral Panel Testing
- New Somatus Care Management Program for patients with CKD/ESRD
- Claims and Payment Policy: Review of NOS, NEC, & Unlisted Codes
- Provider IVR Claims Menu Redesign
- New Portal Features: iCarePath Claim Appeals and Disputes
- 12092020 New Prepay Edits: Institutional Ambulance Claims
- Prepayment Clinical Validations Edit Policy (Effective 10012020)
- 09152020 Comprehensive Eye Exam Claim & Payment Policy (Effective 10152020)
- 09172020 Clinical Coverage Guideline: Short Inpatient Hospital Stays (Effective 10012020)
- WellCare Extends $0 Member Liability for Primary Care, Behavioral Health, and Telehealth Services for Remainder of 2020
- Claims & Payment Policy 145: Incorrect Billing for Severe Malnutrition: Eff. 11/01/20
- Opioid Program MAT Certification
- Claims & Payment Policy (#133): 340B Drug Payment Reduction Policy
- Updates to Prior Authorization Requirements: Wound Care and Skin Substitutes
- WellCare and HealthNet are joining health plans
- Notice Regarding Authorization Requirements
- Intensity-Modulated Radiation Therapy (IMRT) Reimbursement Policy
- Reducing Low Value Care Screenings Claims Edit Guidelines Policy
- DSNP Coinsurance Place of Service Code 22 Update
- Emergency Department (ED) High Acuity Radiology Utilization Reimbursement Policy
- Medicare Milliman Clinical Guidelines (MCG) Rollout
- New Urine Drug Testing Guidelines
- Prior Authorization Requirements
- Medicare Star Ratings Call to Action
- Annual Wellness Visit and Additional Physical Coding Refresher
- Readmission Policy Update
- New Modifier Claims Edit Guideline (CEG)
- Prior Authorization Requirements
- Dual SNP Cost Share Update
- Important update to the clinical coverage guideline for Post-Acute Care
- HealthHelp
- New Medicare Cards
- Exciting Authorization Rule Enhancements
- Your Partner in Quality Care
- Provider Notice of WellCare/DaVita Contract Termination Recension
- Achievements in Clinical Excellence (ACE) Program Discontinuation
- Pharmacy Benefit Manager Effective January 1, 2016
- ICD-10 Transition Effective October 1, 2015
- Coding Reminder
- Inpatient Readmissions Policy
