2023
- National Epic Payer Platform Announcement
- Find-a-Provider Directory Communications: Phase 1
- Important Pharmacy Claims Processing Change, Effective January 1, 2024
- New Century Health Cardiology Prior Authorization Program
- DSNP Billing for Medicaid-Covered Services
- 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
- COVID-19 Public Health Emergency (PHE) Expiration - Effective May 11, 2023
- Medicare Prior Authorization Change Summary - Effective July 1, 2023
- Appendix A - Medicare Part B Drug List - Effective July 1, 2023
- Reminder of CMS Lab Ordering Guidelines
- D-SNP Patients Must Verify Medicaid Eligibility Annually
- New Century Health Oncology Prior Authorization List: Effective April 1, 2023
- Guidance on Effective Date for Legacy Wellcare Medicare ID Cards
2022
- Wellcare 2023 $0 Immunizations Part D Vaccines - (PDF)
- 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
- 2022 Medicare Radiology Center Incentive Program Announcement
- Sneak Preview of 2023 Improvements
- Medicare Provider CMS NPPES Program Update
- Peer-to-Peer Review Request Requirement Changes Effective September 1, 2022
- Care Centrix Home Health Provider Notification
- InterQual Criteria Rollout: Effective August 1, 2022
- Medicare Prior Authorization Change Summary: Effective July 1, 2022
- Medicare Billing Tips for Transplant Service Claims
- Revised Claims & Payment Policy: Leg Stent Coding Updates
- Prior Authorization Requirement Updates: Effective March 1, 2022
- Medicare Billing Updates Effective January 01, 2022
2021
- 2022 Formulary Change Notification
- New Ophthalmology Medical Necessity Payment Policies
- Wellcare’s Provider Portal – Providers love our Live Chat!
- Point of Care Formulary Information Tools
- CPP 161: Polymerase Chain Reaction Respiratory Viral Panel Testing
- Wellcare’s Provider Portal – Now with Improved Live Chat
- New Somatus Care Management Program for patients with CKD/ESRD
- Claims and Payment Policy: Review of NOS, NEC, & Unlisted Codes
- Claims & Payment Policy: Physician Office Lab Testing: Effective
