Medicare
- 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
- Submit Attestations Online for Chronically Ill Members
- 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)
- Peer-to-Peer Review Request Requirement Changes Effective September 1, 2022
- National Imaging Associates Inc. (NIA) Provider Educational Webinars
- InterQual Criteria Rollout: Effective August 1, 2022
- NIA to Authorize Certain Cardiac Procedures Effective July 1, 2022
- CareCentrix Home Health Provider Notification
- Webinar: Beyond the Basics - Advanced Provider Documentation
- Prior Authorization Requirement Updates: Effective March 1, 2022
- NIA Therapy and Pain Management Implementation Announcement
- CPP 161: Polymerase Chain Reaction Respiratory Viral Panel Testing
- New Somatus Care management Program for patients with CKD/ESRD
- Inpatient Hospital Short Stays Guideline Updates
- COVID-19 Public Health Emergency (PHE) Expiration
- New Century Health Oncology Prior Authorization List: Effective April 1, 2023
- Reminder of CMS Lab Ordering Guidelines
- Guidance on Effective Date for Legacy Wellcare Medicare ID Cards
- Special Needs Plan Model of Care Self-Study Program
- Medicare Part B Drugs List: Effective January 1, 2023 (Appendix A)
- Medicare Prior Authorization Change Summary: Effective January 1, 2023
- SSBCI Attestation – Important Process Change
- CMS Lab Ordering Guidelines Reminder
- Sneak Preview of 2023 Improvements
- Medicare Provider CMS NPPES Program Update
- Prior Authorization Change Summary: Effective July 1, 2022
- Medicare Billing Tips for Transplant Service Claims
- Medicare Billing Updates Effective January 01, 2022
- 2022 Formulary Update Notification
- Wellcare’s Provider Portal – Providers love our Live Chat!
- New Ophthalmology Medical Necessity Payment Policies
- Wellcare’s Provider Portal – Now with Improved Live Chat
- Epocrates Point of Care Formulary Information Tools
- Provider IVR Claims Menu Redesign
- New Portal Features: iCarePath Claim Appeals and Disputes
