Texas - Provider Manual
This manual is for Coordinated Care Plans (CCP) only. For questions regarding Private Fee-For-Service (PFFS), call 1-866-235-2770.
Section 1 All About WellCare
Section 2 Provider Responsibilities
Section 3 Member Services
Section 4 Utilization Management
Section 5 Pharmacy
Section 6 Claims
Section 7 Appeals and Grievances
Section 8 Credentialing
Section 9 Risk Management
Section 10 Quality Improvement
Section 11 Medical Records
Section 12 Case Management
Section 13 Behavioral Health
Section 14 Cultural Competency
Section 14 Dual Eligible Members
Section 15 Provider Education Materials
Section 16 Forms
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