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Quality Provider Toolkit

Helping you care for your patients is our top priority!

We believe that delivering quality care doesn’t have to be complicated. So, to make working with us easier, we have developed the Centene Quality Provider Toolkit. It’s designed with you in mind to provide you with valuable education and materials to simplify your administrative responsibilities—so you can focus on providing care.

If you need further support, please contact your assigned Quality Representative. If you are unsure of who your assigned Quality Representative is, please reach out via our monitored email inbox. Be sure to include your contact information and someone will be in touch with you by the next business day.

CAHPS Information

Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a survey tool that asks patients to evaluate their experience with their health plan and at providers’ offices.

Wellcare 2024 CAHPS Provider Guide

Wellcare CAHPS/HOS Provider Resource Guide

Wellcare Provider-Patient Experience

Wellcare Tips for Improving Patient Experience and Quality of Life

Continuity of Care (CoC) Program

Our Continuity of Care (CoC) Program initiative incorporates Appointment Agendas, HEDIS® measures, and pharmacy metrics into one comprehensive view.

Wellcare 2024 Continuity of Care Program Flyer

2024 Wellcare Medicare Incentive Programs

Wellcare 2024 Medicare Appointment Agenda Guide

Clinical Documentation Improvement (CDI)

Clinical Documentation Improvement (CDI)

Clinical Documentation Improvement (CDI)

Risk Adjustment Program

Wellcare Secure Provider Portal Training

CoC Provider Portal Submission Training (Appointment Agendas)

HEDIS® P4Q

HEDIS® (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA) to objectively measure, report, and compare quality across health plans.

HEDIS®

HEDIS®

HEDIS®

HEDIS®

HEDIS®

Helpful Links


Measures Best Practice


Member Rewards

New in 2024, members can earn points for completing their list of healthy activities through My Wellcare Rewards. It is all part of our pledge to improve your health and well-being.

Presentation

Flyer

Flyer

Provider Portal Information


Provider-Facing Collateral


Rx Effect


2024

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Y0020_WCM_134133E_M Last Updated On: 10/1/2023