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Medicaid Providers

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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.

Beginning December 1, 2018, WellCare will cover Early Intervention Services and Child Health Services Targeted Case Management for members receiving services through the Early Steps Program.

Notice of New Inbound Edits for Florida Staywell Medicaid Claims and Encounters

This reference guide provides a list of the departments at Staywell that may be helpful in assisting with coordination and authorization of services that a member may need as part of the discharge plan.

The following details all expanded benefits available to Staywell Medicaid members.

The following details all expanded benefits available to Staywell Medicaid members.

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

The following details all expanded benefits available to Children’s Medical Services (CMS) Health Plan members.

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

Staywell reimburses approved providers for billing Long-Acting Reversible Contraception (LARC) devices on Fee-For-Service (FFS) claims.

This reference guide provides a list of the departments at Children’s Medical Services Health Plan (CMS Health Plan) that may be helpful in assisting with coordination and authorization of services that a member may need as part of the discharge plan.

Provider Name, Specialty and Hospital Privileges

This reference guide provides a list of the departments at Children’s Medical Services Health Plan (CMS Health Plan) that may be helpful in assisting with coordination and authorization of services that a member may need as part of the discharge plan.

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

ProgenyHealth Frequenetly Asked Questions

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Last Updated On: 8/30/2019