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Wellcare 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.
Details the various tools available to help providers do business with WellCare.
Guide to using self-service features in the provider portal.
How to quickly get in touch with WellCare to get your questions answered.
Detailed plan information on important topics relating to vision 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).
Contains key phone numbers and information on claims, appeals, & more.
Evolent Hip, Knee, Shoulder Musculoskeletal Surgery Checklist
Evolent Utilization Review Matrix 2024: Musculoskeletal Surgery (HKS)
Evolent Spine Musculoskeletal Surgery Checklist
Evolent Utilization Review Matrix 2024: Musculoskeletal Surgery (Spine)
Wellcare Musculoskeletal (MSK) Program Provider Training: February 2024
Wellcare HMO D-SNP members have coverage from both Medicare and Medicaid. These members receive their Medicare health care and prescription drug coverage through Wellcare. They are also eligible to receive additional health care services and coverage through Louisiana Medicaid. Learn more information on providers who participate in Louisiana Medicaid. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website and select the “Learn about Medicaid Services” link.
Wellcare HMO D-SNP members have coverage from both Medicare and Medicaid. These members receive their Medicare health care and prescription drug coverage through Wellcare. They are also eligible to receive additional health care services and coverage through Louisiana Medicaid. Learn more information on providers who participate in Louisiana Medicaid. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website and select the “Learn about Medicaid Services” link.
