Medicare
- Important Prior Authorization updates: Effective October 15, 2025 (PDF)
- Medicare Prior Authorization Change Summary: Effective 10/1/2025
- Introducing Availity Editing Services
- Model of Care Training Required
- Medicare Prior Authorization Change Summary: Effective 7/1/2025
- Notice of Changes by Medicare That May Affect Drug Coverage
- Medicare Prescription Payment Program
- Medicare Benefit Updates for 2024
- Annual Special Needs Plan Model of Care (MOC) Training
- Billing Professional HCFA1500 Ambulance Paper Claims to Wellcare
- Evolent MSK Management Program Announcement
- Change Healthcare Cybersecurity Incident and its Impact to Wellcare
- Medicare Step Therapy Part B Drug List - Effective January 1, 2024
- 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
- 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
- Updated Medicare Payment Policies
- 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
- Sneak Preview of 2023 Improvements
- Medicare Provider CMS NPPES Program Update
- Claims and Payment Policy: Inpatient Readmission
- Peer-to-Peer Review Request Requirement Changes Effective September 1, 2022
- Prior Authorization Change Summary: Effective July 1, 2022
- Medicare Billing Tips for Transplant Service Claims
- Point of Care Formulary Information Tools
- Provider IVR Claims Menu Redesign
- New Portal Features: iCarePath Claim Appeals and Disputes
- Prior Authorization Requirement Updates: Effective March 1, 2022
- Medicare Billing Updates Effective January 01, 2022
- 'Ohana's Provider Portal – Providers Love our Live Chat!
- 'Ohana's Provider Portal – Now with Improved Live Chat
- CPP 161: Polymerase Chain Reaction Respiratory Viral Panel Testing
- New Somatus Care Management Program for patients with CKD/ESRD
