2023 Provider Notifications
- 23-1221m Transitions of Care Management (TRC) Worksheet Now Available Online
- 23-1481 Data Sharing Agreement
- 23-1410 Prepare for the Opioid Care Honor Roll and Next Year’s New Sepsis Care Honor Roll
- 23-1351m False Claims Act
- 23-1153 D-SNP Plan Changes in 2024: Webinar Reminder & Registration
- 23-1406 2024 Medicare Part B Step Therapy Changes Notification
- 23-1356 SOE LA County Fire on Interstate 10
- 23-1286m Stay Informed With the Fall 2023 Provider Pulse Newsletter
- 23-1151 Don't forget: D-SNP Plans are changing in 2024
- Find-a-Provider Directory Communications: Phase 1
- 23-1213m Annual Medical Records Collection Begins January 1, 2024
- 23-1193m Wellcare Offers an Easier Way to Access Utility Assistance and More in 2024
- 23-1185 Change from CVS to Express Scripts
- 23-1149 Important Changes to D-SNP Plans in 2024
- 23-1165 Register Today: CAHPS® Survey
- 23-985m Refer Members to Access2Care™ for No-Cost, Routine Transportation Services
- 23-1058: DSNP Plans are Changing, Effective January 1, 2024
- 23-1062 Introducing the New One-Stop for All HEDIS® Tip Sheets
- 23-798 No-cost Interpreter Services
- Important Pharmacy Claims Processing Change, Effective January 1, 2024
- 23-631 Member Rights and Responsibilities
- 23-1012 Go Online to View Prior Authorization Changes
- 23-1015 Update to State of Emergency: Impacts from Tropical Storm for Multiple Counties
- 23-988 State of Emergency: Hurricane Hilary Tropic Storms
- 23-561m Stay Informed With the Summer 2023 Provider Pulse Newsletter
- 23-641m Know What You Are Responsible for to Coordinate Care for Your D-SNP Patients
- 23-912 CMS Risk Adjustment Model Changes- Webinar
- 23-907 2023 Medi-Cal Risk Adjustment Model Changes - Webinar
- 23-838 Save the Date: Annual Provider Satisfaction Survey
- 23-840m Easily Exchange Clinical Information with Epic Payer Platform
- Reminder: Home Health Notice of Admission (NOA) Change
- Annual Special Needs Plan Model of Care (MOC) Training
- 22-815m Provider Appointment Availability, After-Hours and Phone Surveys
- 23-663m Get Paid Faster with Payspan
- 23-539m Bill Preventive Colonoscopies with Correct Modifiers for No Cost Share Benefits
- 23-645m Prioritize Bicillin® L-A to Treat Syphilis in Pregnant Persons Until Q4 2023
- 23-588m 2023 Provider Satisfaction Survey
- COVID-19 Public Health Emergency (PHE) Expiration
- 23-606 State of Emergency in Ventura County Due to Ongoing Winter Storm Impacts
- 23-430m Use Correct CPT Codes and HCPCS Billing for Medicare
- 23-491 Support Patient Care and Get Paid on Time
- 23-469 Suicide Safer Care Webinar
- 23-456 Know What Changes are Coming for Prior Authorization
- Medicare Prior Authorization Change Summary - Effective July 1, 2023
- Appendix A - Medicare Part B Drug List - Effective July 1, 2023
- 23-414 Stay Informed With the Spring 2023 Provider Pulse Newsletter
- 23-385m Recognize and Address Mental Health Symptoms Early
- 23-408 State of Emergency: Four Additional Counties Added
- 23-339m Reminder: Screen Members Annually for Depression
- 23-205m Check it out Online! Updated Guide to Improve Health Outcomes
- 23-345m Medication Adherence
- 23-347 Bill Correctly to Get Paid for Primary Diagnosis & Interim Claims Submitted
- 23-341 Naloxone: Saving Lives by Reversing Opioid Overdose
- 23-312 Medi-Cal Redetermination Resumes Soon
- 23-305m Updates Made to the SPC HEDIS® Tip Sheets
- 23-246m Find Local Resources Your Patients Need
- 23-298 State of Emergency: Severe Winter Storms Impacting 9 More Counties
- 23-179m Watch New Clinical Care Metrics & Patient Experience Training Online
- 23-252 State of Emergency: Winter Storms
- 23-156 CAIR Registry Immunization Reporting
- New Century Health Oncology Prior Authorization List: Effective April 1, 2023
- 23-079 Stay Informed With Issue 1 of the 2023 Wellcare Provider Newsletter
- 23-102 D-SNP Transition Survey
- Reminder of CMS Lab Ordering Guidelines
- 23-064 Enhancing Patient Care Through Risk Adjustment
- 23-020 Members with Alcohol or Substance Use Disorder-Bright Heart Health
- 23-068 Statewide State of Emergency Due to Winter Storms
- 23-032 Reminder to Sign Data Sharing Agreement to Exchange PHI
- 23-002 The D-SNP “Look Alike” Transition to D-SNP is Now Complete
2022 Provider Notifications
- Wellcare 2023 $0 Immunizations Part D Vaccines - (PDF)
- 22-980 Stay Informed with Issue 4 of the 2022 Wellcare Provider Newsletter
- 22-1006 Know What’s New and Changing in 2023 for Prior Authorizations
- 22-845 Medicare HOS: Management of Fall Risk an Urinary Incontinence
- 22-883 Keep Patients Healthy with Flu Vaccine Recommendations
- 22-953 Submit Attestations Online for Chronically Ill Members
- 22-804 It's Almost Here - Dual Eligible Special Needs Plan (D-SNP)!
- 22-1037 State of Emergency Due to Ongoing Effects of Route Fire in Los Angeles County
- 22-1010 Preventing Suicide Among Healthcare Professionals and Staff
- 22-999 Tenet Health Remains in the Wellcare Network
- 22-976 Sign Attestation by January 31, 2023 to Exchange Patient Health Information
- 22-942 See What News Is Online for October 2022
- 22-801 Learn More About D-SNP to Help Support Your Patients
- 22-864m HEDIS® Annual Medical Records Collection Begins December 1, 2022
- 22-874 What to Know About the MPX Virus
- 22-852 What You Need to Know for Your Dual Eligible Patients
- 22-859m Update and Certify Provider Data in CMS’s NPPES
- 22-842m Reduce Overdoses and Save Lives With These Programs and Resources
- 22-834 Los Angeles County: What to Know About the MPX Virus
- 22-798 D-SNP "Look Alike" Members are Transitioning!
- 22-840 See What News Is Online for September 2022
- 22-857 Build an LGBTQ+ Allied and Experienced Practice
- 22-813 Avoid Payment Delays With Correct Claims Coding
- 22-287 Early treatment can lead to a 90% survival rate after five years
- 22-773 Get Paid Faster with Payspan
- 22-811 PCP Prevent Elderly Suicide Webinar
- 22-780 Strengthen Cultural Humility and Dismantle Implicit Bias in Maternal Health
- 22-796 State of Emergency Due to Fairview Fire in Riverside County
- 22-731 Prior Authorization Required for Wound Care Visits Over 12
- 22-667 Submit Claims-Related Attachments via the Availity® Portal
- 22-711 Prepare For Your Dual Eligible Patient Transition to a D-SNP and EAE Plan
- 22-510 Stay Informed with Issue 3 of the 2022 Wellcare Provider Newsletter
- 22-593 Strengthen Cultural Humility & Dismantle Implicit Bias in Healthcare
- 22-623 See What News Is Online for July 2022
- 22-562m We want to hear from you! 2022 Provider Satisfaction Survey
- 22-574m Online Tip Sheets Offer Quick Information with Best Practices
- 22-596 Prepare for Changes to Peer-to-Peer Review Requirements
- 22-459 Stay Informed with Issue 2 of the 2022 Wellcare Provider Newsletter
- 22-431 Offer Patients Added Treatment Options for COVID-19 with Oral Antivirals
- 22-436 Heads Up! Be Aware of Changes for Your D-SNP “Look Alike” Patients
- 22-405 See What News Is Online for April 2022
- 22-355m Recognize and Address Mental Health Symptoms Early
- 22-348a Provider Resilience Sessions - Join our Webinar!
- 22-171 Improve Your Patients’ Experience with Timely Access
- 22-297 Get Paid Faster with Payspan - Webinar
- 22-280 See What News Is Online for March 2022
- 22-269 Bill E&M Services Correctly with New Payment Policy
- 22-223 Issue 1 – 2022 Wellcare Provider Newsletter
- 22-260 Medicare Billing Changes for 2022
- 22-253 Healthcare Ready Provider Webinars
- 22-182 Help Members with Kidney Disease (Care Management Program)
- 22-050 Improve Patient Experience and Quality of Care
- 22-082 Identify, Accept and Treat Your Wellcare Patients
- 22-033 Keep Patients Healthy with Flu Vaccine Recommendations
- 22-022 Support for Wellcare Members Impacted by Storms
- 21-850 Know How to Coordinate Your D‐SNP Patients’ Medi‐Cal Benefits
- 21-808 Look for News from Wellcare in a Fresh, New Layout
- Prior Authorization Requirement Updates: Effective March 1, 2022
2021
- 21-850 Know How to Coordinate Your D‐SNP Patients’ Medi‐Cal Benefits
- 21-808 Look for News from Wellcare in a Fresh, New Layout
2020
- Claims and Payment Policy: Review of NOS, NEC, & Unlisted Codes
- New Prepay Edits: Institutional Ambulance Claims
- Prepayment Clinical Validations Edit Policy
- Comprehensive Eye Exam Claim & Payment Policy
- $0 Member Liability extended for select services until end of 2020
- CPP 145: Incorrect Billing for Severe Malnutrition Policy
- New Portal Features: Edit authorizations, add attachments, and more!
- Opioid Program MAT Certification
- Prior Authorization Updates: Wound Care & Skin Substitutes
- Wellcare and HealthNet are joining health plans
- New Medicare ID cards for 2020
