2024
- Notice of Changes by Medicare That May Affect Drug Coverage
- Medicare Prescription Payment Program
- Notice of Changes by Medicare that may affect Drug Coverage
- Sleep Study Authorization Changes
- Medicare Benefit Updates for 2024
- Annual Special Needs Plan Model of Care (MOC) Training
- Preferred Pharmacy Network Benefit Updates for 2024 (PDF)
- Prior Authorization changes effective 7/1/24 (PDF)
- Wellcare Advantage 2024 CMS Two-Midnight Rule Provider FAQ (PDF)
- Please be Aware of Fraudulent Requests for Medical Records (PDF)
- Billing Professional HCFA1500 Ambulance Paper Claims to Wellcare
- AcariaHealth Remains In-Network and a Preferred Specialty Pharmacy
- Change Healthcare Cybersecurity Incident and its Impact to Wellcare
2023
- Medicare MSK Announcement
- Medicare Step Therapy Part B Drug List - Effective January 1, 2024
- Change in 2024 Medicare Medical & Surgical Vision Benefit Administration
- National Epic Payer Platform Announcement
- Find-a-Provider Directory Communications: Phase 1
- Important Pharmacy Claims Processing Change, Effective January 1, 2024
- 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
- Termination of Somatus Care Management Program for Patients with CKD/ESRD
- Medicare Prior Authorization Change Summary - Effective July 1, 2023
- Appendix A - Medicare Part B Drug List - Effective July 1, 2023
- CDI Training: Documentation and Coding Tips for Faster Claims Payment
- D-SNP Patients Must Verify Medicaid Eligibility Annually
- New Century Health Oncology Prior Authorization List: Effective April 1, 2023
- Wellcare 2023 $0 Immunizations Part D Vaccines - (PDF)
- COVID-19 Public Health Emergency (PHE) Expiration
- Reminder of CMS Lab Ordering Guidelines
2022
- Peer-to-Peer Review Request Requirement Changes Effective September 1, 2022
- InterQual Criteria Rollout: Effective August 1, 2022
- NIA to Authorize Certain Cardiac Procedures Effective July 1, 2022
- CareCentrix Home Health Provider Notification
- Webinar: Beyond the Basics - Advanced Provider Documentation
- Prior Authorization Requirement Updates: Effective March 1, 2022
- NIA Therapy and Pain Management Implementation Announcement
2021
- CPP 161: Polymerase Chain Reaction Respiratory Viral Panel Testing
- New Somatus Care management Program for patients with CKD/ESRD
- National Imaging Associates Inc. (NIA) Provider Educational Webinars
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
- Revised ED Outpatient Facility E/M Coding Policies
- CPP 145: Incorrect Billing for Severe Malnutrition Policy
- Opioid Program MAT Certification
- Prior Authorization Updates: Wound Care & Skin Substitutes
- Claims & CPP 133: 340B Drug Payment Reduction Policy
- Wellcare & Louisiana Healthcare Connections are joining plans
- New Medicare ID cards for 2020
- Inpatient Hospital Short Stays Guideline Updates
