ᏗᎾᏓᏁᏢᏍᎩ

Bulletins

• View the latest updates to Medical Clinical Policies

• Notice of Changes by Medicare that may affect Drug Coverage 
• Sleep Study Authorization Changes
• Medicare Benefit Updates for 2024
• Annual Special Needs Plan Model of Care (MOC) Training
• Preferred Pharmacy Network Benefit Updates for 2024 (PDF)
• Prior Authorization changes effective 7/1/24 (PDF)
• Wellcare Advantage 2024 CMS Two-Midnight Rule Provider FAQ (PDF)
• Please be Aware of Fraudulent Requests for Medical Records (PDF)
• Billing Professional HCFA1500 Ambulance Paper Claims to Wellcare
• AcariaHealth Remains In-Network and a Preferred Specialty Pharmacy
• Change Healthcare Cybersecurity Incident and its Impact to Wellcare
• MSK Provider Education Webinars
• Medicare MSK Announcement
• Medicare Step Therapy Part B Drug List - Effective January 1, 2024
• Change in 2024 Medicare Medical & Surgical Vision Benefit Administration
• 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
• Termination of Somatus Care Management Program for Patients with CKD/ESRD
• Medicare Prior Authorization Change Summary - Effective July 1, 2023
• Appendix A - Medicare Part B Drug List - Effective July 1, 2023
• CDI Training: Documentation and Coding Tips for Faster Claims Payment
• D-SNP Patients Must Verify Medicaid Eligibility Annually
• New Century Health Oncology Prior Authorization List: Effective April 1, 2023
• Wellcare 2023 $0 Immunizations Part D Vaccines - (PDF)
• COVID-19 Public Health Emergency (PHE) Expiration
• Reminder of CMS Lab Ordering Guidelines