September 2, 2026
Key updates to performance expectations, governance, and corrective action protocols
We have updated our Independent Practice Associations (IPA) Performance Management processes to strengthen performance expectations, oversight practices and improvement protocols. These changes are intended to enhance accountability, clarify requirements and support consistent, high-quality performance across IPAs.
These enhancements provide clearer direction across critical performance areas, support more focused and effective Joint Operations Meeting (JOM) reviews, and help IPAs meet or exceed established performance benchmarks.
Summary of key process changes
- Implemented a formal Corrective Action Plan (CAP) policy and procedure to standardize how performance issues are addressed and resolved.
- Updated governance structure terminology, replacing "Delegation Oversight Committee" with "Delegated Provider Performance Governance," to better reflect current oversight practices.
Supporting Documentation
Relevant sections of the Wellcare Provider Manual have been updated to reflect the recent changes to the IPA Performance Management processes. The manual is available online.
Have Questions? Contact us
If you have questions regarding these performance management process changes, contact your Provider Engagement representative.
This information applies to Independent Practice Associations (IPAs).
