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Special Needs Plan Model of Care Self-Study Program

December 9, 2022

Dear Provider,

The Centers for Medicare & Medicaid Services (CMS) requires health plans to provide annual education and training on Wellcare’s Model of Care to providers who usually treat our Special Needs Plan (SNP) members. This applies to our Dual Eligible Special Needs Plan (D-SNP) members, who are eligible for both Medicare and Medicaid, and our Chronic Condition Special Needs members (C-SNP), who have one or more qualifying conditions.

We update provider training materials annually to align with the current year’s Model of Care. Included is the self-study training that outlines Wellcare’s Model of Care requirements for our providers.

You can download this self-study program at: wellcare.com/Providers/Model-of-Care-Notice.

We appreciate the quality care you provide to our members and your support of our efforts to meet the CMS regulations regarding the SNP Model of Care.

For additional information on how to work with our health plan to manage SNP members, please visit wellcare.com/providers. There you can find links to the Provider Manual, Quick Reference Guides, Clinical Practice Guidelines, and more.

Sincerely,       

Wellcare Health Plans

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Last Updated On: 11/29/2023