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Overview & Resources

WellCare of North Carolina 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.


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

Online Tools for WellCare Providers

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

The Early and Periodic, Screening, Diagnostic and Treatment (EPSDT) program is Medicaid’s federally mandated comprehensive and preventive health program for individuals younger than 21.

This is a copy of the WellCare professional provider template approved by NC DHHS.

Corporate Policy and Procedures, Operations, Credentialing

Corporate Policy and Procedures, Operations, Credentialing

PCP Change Request Form for Members Enrolled in Managed Care Prepaid Health Plans (PHPs)

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Last Updated On: 9/29/2021