Skip to main content

Overview & Resources

WellCare 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.

Managed Long Term Services and Supports (MLTSS)

MLTSS refers to the delivery of long-term services and supports through New Jersey Medicaid's NJ FamilyCare managed care program. MLTSS is designed to expand home and community-based services, promote community inclusion, and ensure quality and efficiency to those individuals that had previously received those services through one of four separate State Waiver programs.


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 WellCare.

Online Tools for WellCare Providers

In this guide, you will find information related to: Secure Provider Portal, Quick Reference Guide, Verifying Member Eligibility, Prior Authorizations, Claims, & Appeals

The intent of this Quick Reference Billing Guide is to familiarize Federally Qualified Health Center (“FQHC”) staff with LIBERTY Dental Plan billing and administrative processes.

Electronic Visit Verification EVV Provider Training Calendar 2021

Effective 1/26/2021, we will begin applying coding edit guidelines for the appropriate coding of Evaluation and Management (E&M) code levels based on WellCare’s E&M Program.

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

You have been identified as a WellCare network provider who is not actively enrolled in New Jersey’s state Medicaid Fee-for-Service program, NJ FamilyCare.

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

New Jersey Medicaid Important Contact Information

A list of provider representative contact information

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

A directory of the nutritionists and dieticians in New Jersey.

contact-us

Need help? We're here for you.

Contact Us
Last Updated On: 9/16/2021
Wellcare Medicare and PDP is getting a new look! Be on the lookout for changes in the coming months and know you can still count on the great coverage you’ve come to expect. Meet the New Wellcare. ×