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Overview & Resources

WellCare of Kentucky 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.

Resources


This document covers some of the most important changes to benefits and processes related to the pandemic. It also includes information about new and ongoing provider resources that WellC

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

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

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

Guide to using self-service features in the provider portal.

Guidelines for submitting HEDIS Flat Files, ESD, and Active DX codes.

Provides authorization to WellCare to load providers under a certain tax ID

A STAR score is a rating system used by Center for Medicare and Medicaid Services (CMS) to measure how well healthcare plans perform in categories such as quality of care and customer service. Ratings range from 1 STAR (poorest quality) to 5 STARS (highest quality).

Quality care is a team effort. Thank you for playing a starring role!

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

Hearing Supplemental Codes Quick Reference Guide

Vision Supplemental Codes Quick Reference Guide

Preventive Plus Dental Plan

Dental 500 Plan

Dental 750 Plan

Dental Plans: 1000, 1500, 2000, 2500, 3000 and 5000

Medicare Provider/Facility Tip Sheets

Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC)

Hospitalization for Potentially Preventable Complications (HPC)

Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC) Medicare Beneficiaries

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Last Updated On: 5/14/2020