Behavioral Health

ᎠᏓᏅᏖᏗ ᏯᏛᏁᏗ ᏅᏩᏙᎯᏯᏛ

The Wellcare Behavioral Health Integrated Program enables a holistic approach to care in which one integrated care management team is responsible for both medical and behavioral health.

Behavioral Health Forms

Detox and Substance Abuse Rehab Service Request

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Electroconvulsive Therapy Services Request

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Inpatient, Sub-acute and CSU Service Request

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

IOP Service Request

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

PHP Service Request

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Psychological and Neuropsychological Testing

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Routine Outpatient Services Request

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Other Resources

Medicare Behavioral Health Authorization List

Effective July 1, 2022

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Reference Guides

Iowa Medicare Quick Reference Guide

Contains key phone numbers and information on claims, appeals, & more.

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Appeals/Reconsiderations (Medical) & Grievances Guide

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Claims, Disputes & Recovery/CCU Guide

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Pharmacy Services Guide

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Prior Authorization Guide

ᎡᎳᏗᏟ ᎦᏢᏍᎬᎢ

Guidelines

Case and Disease Management

WellCare offers integrated Case and Disease Management programs specifically designed to assist with behavioral health issues such as depression and diabetes.

Guidelines
Guidelines
- Requesting Higher Level of Care (HLOC) Services
- Submitting Outpatient Service Requests
Case and Disease Management

Case and Disease Management

WellCare offers integrated Case and Disease Management programs specifically designed to assist with behavioral health issues such as depression and diabetes.

Medicare ᏗᎾᏓᏁᏢᏍᎩ

ᎠᏓᏅᏖᏗ ᏯᏛᏁᏗ ᏅᏩᏙᎯᏯᏛ