Wellcare by Allwell Provider Materials
- Wellcare by Allwell Prior Auth Tip Sheet 2023 (PDF)
- Wellcare by Allwell PaySpan Information 2023 (PDF)
- Wellcare by Allwell Secure Portal Instructions 2023 (PDF)
- Wellcare by Allwell Risk Adjustment Tips 2023 (PDF)
- Wellcare by Allwell Quick Reference Guide 2023 (PDF)
- Wellcare by Allwell Provider Manual 2022 (PDF)
- HEDIS Quick Reference Guide 2022 (PDF)
- Medicare Part B Step Therapy (PDF)
- Important Pharmacy Claims Processing Change, Effective January 1, 2024 (PDF)
- RadMD Cardiac Provider Experience Workgroups 6.1.22 (PDF)
- NIA Home State Health - Wellcare by Allwell Utilization Matrix 2022 - (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 - High Tech Radiology - Utilization Review Matrix 2020 (PDF)
- Provider Fax Back Form (PDF)
- Updated Prior Authorization PA Fax Form (PDF)
- Qualified Medicare Beneficiaries Billing FAQ (PDF)
2023
- 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)
- PEAK Performance Wellcare Bonus 2023 (PDF)
- Prior Authorization Changes Effective October 1, 2023 (PDF)
- Medicare COVID Update (PDF)
- Prior Authorization Changes Effective January 1, 2023 (PDF)
- Prior Authorization Changes Medicare Part B Effective January 1, 2023 (PDF)
2022
- Suicide Prevention Webinar Dec 2022 (PDF)
- NEW Attestation Process for Special Supplemental Benefits for Chronically Ill (SSBCI) (PDF)
- Home State Health and Show Me Healthy Kids Claims Basic Training (PDF)
- Update and Certify Provider Data in CMS's NPPES (PDF)
- Wellcare / Wellcare by Allwell Changes to Peer to Peer and Prior Authorizations (PDF)
- Medicare Prior Authorization List and Changes Effective 7.1.2022 (pdf)
- 2022 Provider Notification for Non-Formulary Drugs (PDF)
- Wellcare by Allwell Rebranding (PDF)
COVID NEWS
- COVID-19 Prior Authorization Reinstatement Notice July 1, 2021 (PDF)
- Medicare Member Liability for Telehealth & COVID-19 Services - Reinstated starting June 1, 2021
- Updated: COVID-19 Notice of Vaccine - Billing Guidelines (PDF)
- COVID-19 Vaccine Patient Engagement Tips for Providers (PDF)
- Public Health Emergency Period Extended (PDF)
- Billing Guidance for Testing, Screening and Treatment (PDF)
- Telehealth Guidance (PDF)
- COVID 19 Medicare CARES Act (PDF)
- COVID-19 Medicare Cost Share Waivers Extension (PDF)
- COVID-19 Authorization Extensions (PDF)
- COVID-19 Provider Notice (PDF)
- COVID-19 CDC Guidance
- COVID-19 Extended Coverage (PDF)
- COVID-19 Provider Information (PDF)
- COVID 19 In-Home Care Guidance for Providers (PDF)
- Home State Health IQC Provider Portal Survey (PDF)
- Provider Accessibility Initiative Notice 6.30.21 (PDF)
- Interoperability Overview for Providers (PDF)
- COVID-19 Prior Authorization Reinstatement Notice July 1, 2021 (PDF)
- Allwell Prior Authorization Changes Effective August 1, 2021 (PDF)
- Point of Care Formulary Information (PDF)
- Updated: COVID-19 Notice of Vaccine - Billing Guidelines (PDF)
- Model Of Care Training Requirements (PDF)
- Turning Point Training for Cardiac Surgical Procedures (PDF)
- 2021 Prior Authorization Notice (PDF)
- 2021 Prior Authorization Medicare Part B List (PDF)
- Provider Notice Ophthalmology (PDF)
- New Payment and Clinical Policies Eff 100120 (PDF)
- Short Inpatient Hospital Stay (PDF)
- Allwell from Home State Mid-Year Benefit Enhancements (PDF)
- Model of Care Training Requirement (PDF)
- 2020 Provider Notification for Medicare Prior Authorization Updates Revised (PDF)
- 2020 Medicare Prior Authorization Code Listing Revised (PDF)
- Appointment Accessibility Standards, After Hours Access and Wait Times (PDF)
- International Overdose Awareness Day Provider Resources (PDF)
- The Importance of Care Coordination (PDF)
- Medicare My Health Pays (PDF)
- CMS Changes to the Diagnosis Related Group (DRG) (PDF)
- Allwell Dual Special Needs Provider Reminder (PDF)
- Allwell Qualified Medicare Beneficiaries Provider Notification (PDF)
- ASAM Provider Training (PDF)
- New Roster Template Requirement (PDF)
- Allwell Outpatient Physical + Occupational and Speech Therapy Prior Authorization (Effective June 2019) (PDF)
- Physical Medicine (PT/OT/ST) WEBINAR - (effective June 2019) (PDF)
- Physical Medicine Services FAQ Prior Authorization (effective June 2019) (PDF)
- Physical Medicine Services QRG Prior Authorization (effective June 2019) (PDF)
- Physical Medicine Services – NIA Tip Sheet/Checklist (Effective June 1 2019) (PDF)
- Allwell Part B Drugs Prior Authorization Update (PDF)
- Allwell Preclusion List (PDF)
- Allwell Part B Step Therapy (PDF)
- Allwell Provider MMAC Enrollment Requirement (PDF)
- Requesting Electronic Prescription Drug Prior Authorization Using CoverMyMeds (PDF)
- Lexis Nexis Campaign (PDF)
- Allwell Expansion Announcement (PDF)
- Opioid Potentiators Information (PDF)
- Updated Policies (Effective June 1, 2018) (PDF)
- Allwell Provider Referrals - Effective 4/1/18 - 9/1/19 (PDF)
- Lexis Nexis Provider Notice (PDF)
- Requesting Electronic Prescription Drug Prior Authorization Using CoverMyMeds (PDF)