August 11, 2025
Wellcare is committed to continuously evaluating and improving overall payment integrity solutions as required by state and federal governing entities.
This notice is to inform providers of an additional review that Wellcare will implement to ensure correct coding guidelines are followed for Electrodes for Transcutaneous Electrical Nerve Stimulation (TENS) to ensure appropriate billing.
This will take effect on or after November 1, 2025.
Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.
Questions?
Wellcare has a wealth of resources available to help answer your questions and address your concerns:
- Provider Services: Call 1-855-538-0454
- Secure Provider Portal: Visit Provider.Wellcare.com to check member eligibility, submit claims and more.
- Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
- Provider News: Bookmark Wellcare Provider Bulletins and Sunshine Health Provider News to keep up with the latest updates.
- Provider Newsflash: Subscribe to our e-newsletter to get regular updates.
- Provider Resources: Visit Wellcare.com/flprovider to find provider manuals, important forms, scheduling standards and other resources.
