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Overview & Resources

Staywell partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most. We are committed to improving the quality of life of our millions of members, who often include some of our nation’s most vulnerable populations.

Medical Expense Initiative

In 2016, edits will be derived directly from the state and national Medicaid editing guidelines. This will save money on vendor fees and additional costs each year. To learn more, please review the National and State-level Medicaid rules.

Resources


Get detailed health plan information on important topics such as coverage procedures and policies.

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

Details the various tools available to help providers do business with Staywell.

How to quickly get in touch with WellCare to get your questions answered.

How to quickly get in touch with WellCare to get your questions answered.

Instructions for large groups and IPAs with five or more providers on how to register for the secure provider portal.

News & Events

Claims Payment Policy image
September 01, 2016

Issue IV 2016 Newsletter

As a WellCare provider, you will be rated on the CAHPS survey by our WellCare members who are your patients. You can improve patient perception of key aspects of their care.

providers
July 01, 2016

Issue III 2016 Newsletter

Operating in an ambulatory surgery center (ASC) setting (Place of Service 24), rather than an outpatient hospital setting (Place of Service 22), may be beneficial to patients, providers and payers.

physicians
June 17, 2016

Issue II 2016 Newsletter

The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey is designed to collect important information from patients about the care they receive from their doctors and health plans. The survey was mailed to members in early March 2015.

Healthy Eating
February 17, 2016

Issue I 2016 Provider Newsletter

Welcome to the first provider newsletter for 2016. WellCare continues to focus on issues that are important to our members and providers. Some of the current focus items include enhancing provider services, claims processing and issue resolution.

contac-us

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Last Updated On: 10/7/2016