Ir al contenido principal

Wellcare is offering $20 Enhanced Payments for Flu Shots

Wellcare is offering Primary Care Physicians (PCPs) an enhanced payment of $20 for every flu shot they administer to members this fall.

PCPs will receive the additional reimbursement for submitting detailed claims for each patient visit related to the Centers for Medicare & Medicaid Services (CMS) Star measure: annual flu vaccine.

We will offer an enhanced payment of $20 per code for select codes (including CPT Category II codes) with dates of service from October 1, 2024 to December 31, 2024.

Receive Payment in March 2025

Claims must be received by February 28, 2025. A one-time payment will be sent out in March 2025.

The Enhanced Payment Program is in addition to the compensation arrangement in your participation agreement in our provider network and the other Wellcare incentive programs you participate in.

Please refer to the detailed listing of measures and codes for specific services eligible for enhanced payment.

STAR MEASURE

STANDARD

ELIGIBLE CODES*

Annual

Flu Vaccine

The percentage of members who received an influenza

vaccination between July 1 of the measurement year and the date when the CAHPS 5.0 H survey

was completed.

Current eligible codes include: 90653, 90656, 90657, 90658, 90660, 90661, 90662, 90673


*Eligible codes for this program may change and this program will follow Centers for Medicare & Medicaid Services (CMS) guidelines.

¿Tiene alguna pregunta?

If you have any questions, please call Wellcare Provider Services at 1-855-538-0454 or visit the Secure Provider Portal. Our Provider Engagement staff can also help. Visit the Find Your Account Manager tool to find who supports your specialty and region. Keep up with the latest Wellcare provider updates by reviewing and bookmarking Provider Bulletins.

Ícono de contacto

¿Necesita ayuda? Puede contar con nosotros.

Contáctenos
Y0020_WCM_134133E_M Última Actualización: 10/1/2023
On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342. ×