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25-214: February 2025

Provider Communications Posted Online for February 2025

Access www.wellcare.com/California/Providers for the latest operational and Plan updates and changes to better service your patients

The provider communication below was posted online in February 2025. No changes were made to the provider operations manual in February 2025.

Date posted

Number and title

Type of notice

Audience

Summary

2/27/25

25-195m, Stay Compliant By Reviewing Changes to Medical Policies for Medicare

Contractual

  • Physicians
  • IPAs
  • Hospitals
  • Ancillary Providers
  • Behavioral Health Providers

Review changes to medical policies for procedures and services for Feb 2025. Medical policies offer guidelines for determining medical necessity for certain procedures, equipment and services, and can be accessed online at https://bit.ly/MA_med_policies. As a reminder, all services must be medically necessary, and member benefits, legal and regulatory mandates take precedence over content of medical policies and must be applied first.

Access communications
Follow these steps to access communications online:

  1. Go to www.wellcare.com/California/Providers.
  2. Select Provider Bulletins.

Access the operations manual
Follow these steps to access the operations manual online:

  1. Go to www.wellcare.com/California/Providers.
  2. From the Provider menu at the top of page, select Overview under the Medicare column. Then, download the provider manual PDF document.

If you have questions regarding the information contained in this update, contact 866-999-3945.

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Y0020_WCM_164006E_M Last Updated On: 3/6/2025