Wellcare is ready to become your Medicare partner in 2022!
As we prepare to launch our Medicare Advantage plans our January 1, 2022, we want to help you and your patients get to know Wellcare.
The Annual Enrollment Period for your Medicare patients runs from October 15 to December 7, 2021. Your patients have a choice in their Medicare health insurance, and we hope that they will use this Annual Enrollment Period to get acquainted with Wellcare. If they ask you about their coverage options, let them know you accept Wellcare.
As our partner, you can count on our complete support as you continue to focus on providing compassionate and expert care to your patients. Our most helpful provider resources include:
- 2022 Wellcare Provider Manual (PDF)
- Provider Orientation Toolkit
Further provider resources, including dedicated Provider Relations and Contracting contacts, can be found on the Nebraska Total Care’s website at www.nebraskatotalcare.com/providers.html. Wellcare is the Medicare product offered through Nebraska Total Care.
Questions?
- For Non-Duals/C-SNP dial 1-833-542-0693
- For Duals/D-SNP dial 1-833-853-0864
Wellcare - New Provider Orientation
Date: 2/25/2022
Time: 3:00-4:30 CST
Join Meeting: centene.zoom.us/j/91609645213?pwd=TERhWUdEbGduZExxSWNxZUNkaEt1QT09
Password: 941658
US: +1 646 931 3860 or +1 669 444 9171
Meeting ID: 916 0964 5213
Wellcare - New Provider Orientation
Date: 3/25/2022
Time: 3:00-4:30 CST
Join Meeting: centene.zoom.us/j/91833073272?pwd=a3h2Z3hHZ0pqK3djdUVhRXVEaE85dz09
Password: 307322
Join by Telephone
US: +1 646 931 3860 or +1 669 444 9171
Meeting ID: 918 3307 3272
- Provider Medicine Request Checklist (PDF)
- Prior Authorization Information (PDF)
- Wellcare Health Plans Utilization Review Matrix 2021 (PDF)
- Provider Outreach and Clinical Engagement Strategy for Wellcare (PDF)
FAQ's-
- National Imaging Associates FAQ's For Wellcare Providers (PDF)
- National Imaging Associates FAQ's Wellcare Prior Authorization Physical Medicine (PDF)
Cardiac-
- Cardiac Checklist (PDF)
- Cardiac Imaging Frequently Asked Questions (PDF)
- Cardiac Solution Program Tip Sheet MPI vs. SE (PDF)
Quick Reference Guides-
- CP.MP.124 ADHD Assessment and Treatment (PDF)
- CP.MP.100 Allergy Testing (PDF)
- CP.MP.96 Ambulatory EEG (PDF)
- CP.MP.110 Bronchial Thermoplasty (PDF)
- CP.MMP.105 Digital EEG Analysis (PDF)
- CP.MMP.50 Drugs of Abuse: Definitive Testing (previously Outpatient Testing for Drugs of Abuse)
- CP.MP.155 EEG in the Evaluation of Headache (PDF)
- CP.MP.106 Endometrial Ablation (PDF)
- CP.MP.134 Evoked Potentials (PDF)
- CP.MP.113 Holter Monitors (PDF)
- CP.MP.123 Laser Skin Treatment (PDF)
- CP.MP.139 Low-Frequency Ultrasound Wound Therapy (PDF)
- CC.MP.181 Polymerase Chain Reaction Respiratory Viral Panel Testing (PDF)
- CP.MP.149 PROM Testing
- CP.MP.97 Testing for Select Genitourinary Conditions (previously Diagnosis of Vaginitis) (PDF)
- CP.MP.154 Thyroid Testing in Pediatrics (PDF)
- CP.MP.38 Ultrasound in Pregnancy (PDF)
- CP.MP.153 H Pylori Testing (PDF)
- CP.MP.157 Vitamin D Testing in Children (PDF)
- CP.MP.99 Wheelchair Seating (PDF)
- CP. MP.143 Wireless Motility Capsule (PDF)
- CC.PP.500 3 Day Payment Window (PDF)
- CC.PP.070 340B Drug Payment Reduction (PDF)
- OC.UM.CP.0026 Extended Ophthalmoscopy (PDF)
- OC.UM.CP.0043 External Ocular Photography (PDF)
- OC.UM.CP.0028 Fluorescein Angiography (PDF)
- OC.UM.CP 0031 Gonioscopy (PDF)
- CC.PP.065 Multiple Diagnostic Cardiovascular Procedure Payment Reduction (MDCR) (PDF)
- CC.PP.068 Multiple Procedure Payment Reduction for Therapeutic Services (PDF)
- CC.PP.069 Multiple Procedure Reduction: Ophthalmology (PDF)
- CC.PP.061 Non-Obstetrical and OB Pelvic and Transvaginal Ultrasounds (PDF)
- OC.UM.CP.0014 Scanning computerized Ophthalmic Diagnostic Imaging (SCODI) (PDF)
- CC.PP.035 Sleep Studies Place of Service (PDF)
- CC.PP.056 Urine Speciment Validity Testing (PDF)
- OC.UM.CP.0063 Visual Field Testing (PDF)
- CC.PP.502 Wheelchairs Accessories (PDF)
- CC.PP.501 30 Day Readmission (PDF)
- CC.PP.066 Leveling of Care: Evaluation and Management Overcoding (PDF)
- CC.PP.053 Non-Emergent ER Services (fka Leveling of ER Services) (PDF)
- CC.PP.054 Physician's Consultation Services (PDF)
- CC.PP.055 Physician's Office Lab Testing (POLT) (PDF)
- CC.PP.057 Problem-Oriented Visits with Preventative Visits (PDF)
- CC.PP.052 Problem-Oriented Visits with Surgical Procedures