Wellcare by Allwell Provider Materials
- Wellcare by Allwell Prior Auth Tip Sheet 2023 (PDF)
- Wellcare by Allwell PaySpan Information 2023 (PDF)
- Wellcare by Allwell Secure Portal Instructions 2023 (PDF)
- Wellcare by Allwell Risk Adjustment Tips 2023 (PDF)
- Wellcare by Allwell Quick Reference Guide 2023 (PDF)
- Wellcare by Allwell Provider Manual 2022 (PDF)
- HEDIS Quick Reference Guide 2022 (PDF)
- Wellcare MA Two Midnight Rule (PDF)
- Annual Well Visit Medicare (PDF)
- Wellcare Spine Matrix (PDF)
- Wellcare Musculoskeletal Surgery Matrix (PDF)
- CAHPS Patient Experience (PDF)
- Health Outcomes Survey (PDF)
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
- Outpatient Treatment Request Tip Sheet (PDF)
- Medical Necessity Criteria
- Express Scripts FAQs (PDF)
- Medicare Part B Step Therapy (PDF)
- Important Pharmacy Claims Processing Change, Effective January 1, 2024 (PDF)
- RadMD Cardiac Provider Experience Workgroups 6.1.22 (PDF)
- In Home Test Kits (PDF)
- Prior Authorization Changes - PA List (PDF)
- Turning Point Cardiac Surgical Program FAQs (PDF)
- Non-Formulary Change Fax Template (PDF)
- 2021 Provider Notification for Non-Formulary Drugs Template (PDF)
- Ophthalmology Notice Quick Reference Guide (PDF)
- Outpatient Treatment Request Form (PDF)
- Electroconvulsive Therapy Form (PDF)
- NeuroPsych Testing Form (PDF)
- Controlling High Blood Pressure Coding tips (PDF)
- Provider Partnership Associate Territories
- NIA Utilization Review Matrix 2024 (PDF)
- Provider Fax Back Form (PDF)
- Updated Prior Authorization PA Fax Form (PDF)
- Qualified Medicare Beneficiaries Billing FAQ (PDF)
2024
- Wellcare MA Two Midnight Rule (PDF)
- Helping You Care For Your Patients (PDF)
- Prior Authorization Updates (PDF)
- Model of Care Training Required (PDF)
- AcariaHealth Reminder (PDF)
- Change Healthcare Outage (PDF)
2023
- Express Scripts Effective 01/01/24 (PDF)
- Important Home State and NIA Notice effective March 1, 2024 (PDF)
- Important Pharmacy Claims Processing Change, Effective January 1, 2024 (PDF)
- Earn Rewards - End of Year Reminder for Closing Open Quality Stars Care Gaps of Medicare Members (PDF)
- PEAK Performance Wellcare Bonus 2023 (PDF)
- Prior Authorization Changes Effective October 1, 2023 (PDF)
- Medicare COVID Update (PDF)
- Prior Authorization Changes Effective January 1, 2023 (PDF)
- Prior Authorization Changes Medicare Part B Effective January 1, 2023 (PDF)
2022
- Suicide Prevention Webinar Dec 2022 (PDF)
- NEW Attestation Process for Special Supplemental Benefits for Chronically Ill (SSBCI) (PDF)
- Home State Health and Show Me Healthy Kids Claims Basic Training (PDF)
- Update and Certify Provider Data in CMS's NPPES (PDF)
- Wellcare / Wellcare by Allwell Changes to Peer to Peer and Prior Authorizations (PDF)
- Medicare Prior Authorization List and Changes Effective 7.1.2022 (pdf)
- 2022 Provider Notification for Non-Formulary Drugs (PDF)
- Wellcare by Allwell Rebranding (PDF)
COVID NEWS
- COVID-19 Prior Authorization Reinstatement Notice July 1, 2021 (PDF)
- Medicare Member Liability for Telehealth & COVID-19 Services - Reinstated starting June 1, 2021
- Updated: COVID-19 Notice of Vaccine - Billing Guidelines (PDF)
- COVID-19 Vaccine Patient Engagement Tips for Providers (PDF)
- Public Health Emergency Period Extended (PDF)
- Billing Guidance for Testing, Screening and Treatment (PDF)
- Telehealth Guidance (PDF)
- COVID 19 Medicare CARES Act (PDF)
- COVID-19 Medicare Cost Share Waivers Extension (PDF)
- COVID-19 Authorization Extensions (PDF)
- COVID-19 Provider Notice (PDF)
- COVID-19 CDC Guidance
- COVID-19 Extended Coverage (PDF)
- COVID-19 Provider Information (PDF)
- COVID 19 In-Home Care Guidance for Providers (PDF)