2023
- Medicare Prior Authorization Changes Effective October 1, 2023
- Annual Special Needs Plan Model of Care (MOC) Training
- Reminder: Home Health Notice of Admission (NOA) Change
- Medicare Prior Authorization Change Summary - Effective July 1, 2023
- Appendix A - Medicare Part B Drug List - Effective July 1, 2023
- New Century Health Oncology Prior Authorization List: Effective April 1, 2023
- D-SNP Patients Must Verify Medicaid Eligibility Annually
2022
- Guidance on Effective Date for Legacy Wellcare Medicare ID Cards
- Special Needs Plan Model of Care Self-Study Program
- Medicare Part B Drugs List: Effective January 1, 2023 (Appendix A)
- Medicare Prior Authorization Change Summary: Effective January 1, 2023
- CMS Lab Ordering Guidelines Reminder
- Sneak Preview of 2023 Improvements
- Medicare Provider CMS NPPES Program Update
- InterQual Criteria Rollout: Effective August 1, 2022
- Peer-to-Peer Review Request Requirement Changes Effective September 1, 2022
- Prior Authorization Change Summary: Effective July 1, 2022
- Prior Authorization Requirement Updates: Effective March 1, 2022
- Medicare Billing Tips for Transplant Service Claims
- CPP 171: E&M Services Billed with Treatment Room Revenue Codes
- CareCentrix Home Health Provider Notification
2021
- Medicare Billing Updates Effective January 01, 2022
- 2022 Formulary Update Notification
- Wellcare’s Provider Portal – Providers love our Live Chat!
- New Ophthalmology Medical Necessity Payment Policies
- Wellcare’s Provider Portal – Now with Improved Live Chat
- Epocrates Point of Care Formulary Information Tools
- Provider IVR Claims Menu Redesign
- New Portal Features: iCarePath Claim Appeals and Disputes
- National Imaging Associates (NIA) Implementation Announcement
- CPP 161: Polymerase Chain Reaction Respiratory Viral Panel Testing
- New Somatus Care Management Program for patients with CKD/ESRD
2020
- Claims and Payment Policy: Review of NOS, NEC, & Unlisted Codes
- New Pre-pay Edits: Institutional Ambulance Claims
- Pre-payment Clinical Validations Edit Policy
- CPP 171: Frequency of Comprehensive Ophthalmological Exams
- $0 Member Liability extended for select services until end of 2020
- CPP 145: Incorrect Billing for Severe Malnutrition Policy
- CCG: Short Inpatient Hospital Stays Effective October 1, 2020
- New Portal Features: Edit authorizations, add attachments, and more!
