Wellcare by Allwell Provider Materials
- Wellcare MA Two Midnight Rule (PDF)
- Annual Well Visit Medicare (PDF)
- Wellcare Spine Matrix (PDF)
- Wellcare Musculoskeletal Surgery Matrix (PDF)
- CAHPS Patient Experience (PDF)
- Health Outcomes Survey (PDF)
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
- Outpatient Treatment Request Tip Sheet (PDF)
- Medical Necessity Criteria
- Express Scripts FAQs (PDF)
- Medicare Part B Step Therapy (PDF)
- Important Pharmacy Claims Processing Change, Effective January 1, 2024 (PDF)
- In Home Test Kits (PDF)
- Prior Authorization Changes - PA List (PDF)
- Turning Point Cardiac Surgical Program FAQs (PDF)
- Non-Formulary Change Fax Template (PDF)
- 2021 Provider Notification for Non-Formulary Drugs Template (PDF)
- Ophthalmology Notice Quick Reference Guide (PDF)
- Outpatient Treatment Request Form (PDF)
- Electroconvulsive Therapy Form (PDF)
- NeuroPsych Testing Form (PDF)
- Controlling High Blood Pressure Coding tips (PDF)
- Provider Partnership Associate Territories
- NIA Utilization Review Matrix 2024 (PDF)
- Provider Fax Back Form (PDF)
- Updated Prior Authorization PA Fax Form (PDF)
- Qualified Medicare Beneficiaries Billing FAQ (PDF)
2024
- Wellcare MA Two Midnight Rule (PDF)
- Helping You Care For Your Patients (PDF)
- Prior Authorization Updates (PDF)
- Model of Care Training Required (PDF)
- AcariaHealth Reminder (PDF)
- Change Healthcare Outage (PDF)
- Express Scripts Effective 01/01/24 (PDF)
- Important Home State and NIA Notice effective March 1, 2024 (PDF)
- Important Pharmacy Claims Processing Change, Effective January 1, 2024 (PDF)
- Earn Rewards - End of Year Reminder for Closing Open Quality Stars Care Gaps of Medicare Members (PDF)