Skip to main content

Payment Policy

This notice is to clarify a segment of WellCare's payment policy language applicable to all WellCare Medicaid markets. WellCare's payment policies are based on publicly distributed guidelines from established industry sources such as the Centers for Medicare and Medicaid Services (CMS), the American Medical Association (AMA), state health care agencies and medical specialty professional societies.

If you have questions about this information, please contact your Provider Relations representative.

Policy Description Claim Type
Claims & Payment Policy  Intensity Modulated Radiation Therapy (IMRT)  Facility and Professional 
Claims & Payment Policy
 Emergency Department Radiology Utilization Facility and Professional 
Claims & Payment Policy 
Screening for Cervical Cancer with Human Papillomavirus (HPV) Testing  Lab
Claims & Payment Policy 

Inpatient Notification

Facility 

Claims & Payment Policy  

Pre-Payment and Post-Payment Review 

Facility and Professional 

Claims & Payment Policy
Screening for Colorectal Cancer Using Cologuard – A Multitarget Stool DNA Test  Facility and Professional 
Claims & Payment Policy
Colorectal Cancer Screening
Facility and Professional 
Claims & Payment Policy
Prostate Cancer Screening  Facility and Professional
contact-us

Need help? We're here for you.

Contact Us
Last Updated On: 8/20/2019